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ATHENS COMMUNITY CARE
NPI 1063092856
Family Medicine in Athens, AL

Active since April 14, 2021CLIA 01D2189174 · Waiver
22454 US HIGHWAY 72 STE 310, ATHENS, AL 35613(256) 216-9744(589) 216-9754 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2024, Apr 14, 2021 (2 updates tracked since 2021).

About Athens Community Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHENS COMMUNITY CARE (NPI 1063092856) is a healthcare organization registered as a family medicine in Athens, Alabama and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 27, 2028 and lists Sebrina B Holt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063092856
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATHENS COMMUNITY CARE
Location Address22454 US HIGHWAY 72 STE 310Athens, AL 35613-2678
Mailing Address22454 Us Highway 72 Ste 310Athens, AL 35613-2678 · (256) 216-9744 · Fax (589) 216-9754
Phone(256) 216-9744
Fax(589) 216-9754
Organization SubpartNo
Authorized OfficialSebrina B HoltExecutive Director · (256) 216-9648
Enumeration DateApril 14, 2021
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1063092856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
22454 US HIGHWAY 72 STE 310, Athens, AL 35613
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athens Community Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Athens Community Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Andrea Dunn, MD
Family Practice
NPI 1013476951
22454 US HIGHWAY 72 STE 310
Athens, AL 35613
(256) 216-9744
✔ PECOS✔ Accepts MedicareSame address
Kiara Carmichael
Family Practice
NPI 1962199083
22454 US HIGHWAY 72 STE 310
Athens, AL 35613
(256) 216-9744
✔ PECOS0.2 mi
Garrett Dunn, MD
Family Practice
NPI 1891254876
1005 W MARKET ST STE 7
Athens, AL 35611
(256) 216-9744
✔ PECOS✔ Accepts Medicare3.8 mi
Amy Clark, MD
Family Practice
NPI 1386931509
203 AVALON AVE SUITE 120
Muscle Shoals, AL 35661
(256) 383-6070
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2189174

Athens Community Care · Athens, AL
Active · expires Jul 27, 2028
CLIA Number01D2189174
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 28, 2026
Certificate Expiration DateJuly 27, 2028
Laboratory DirectorDr. Garrett Dunn
Laboratory Phone(256) 216-9744
Laboratory LocationAthens Community Care22454 Us Hwy 72 Ste 310, Athens, AL 35613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athens Community Care's NPI number?

The NPI number for Athens Community Care is 1063092856. It was assigned to this organization in the NPPES registry on April 14, 2021.

Where is Athens Community Care located?

Athens Community Care is located at 22454 Us Highway 72 Ste 310, Athens, AL 35613. The listed phone number is (256) 216-9744.

What is Athens Community Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Athens Community Care enrolled in Medicare?

Yes. Athens Community Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Athens Community Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Family Practice, reassign their Medicare billing to Athens Community Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Athens Community Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2189174) is associated with this NPI, valid through July 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Athens Community Care was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.