NEW LIFE FAMILY MEDICINE
NPI 1063188589
Family Medicine in Albertville, AL

Active since August 17, 2021CLIA 01D2233543 · Waiver
1011 HORTON ROAD, ALBERTVILLE, AL 35950(256) 677-1475 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About New Life Family Medicine NPPES

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

NEW LIFE FAMILY MEDICINE (NPI 1063188589) is a healthcare organization registered as a family medicine in Albertville, Alabama and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Francesa Cerimele, Owner, as its authorized official.

NPPES Registry Identity

NPI1063188589
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW LIFE FAMILY MEDICINE
Location Address1011 HORTON ROADAlbertville, AL 35950-2527
Mailing Address1011 Horton RoadAlbertville, AL 35950-2527 · (256) 677-1475
Organization SubpartNo
Authorized OfficialFrancesa CerimeleOwner · (256) 677-1475
Enumeration DateAugust 17, 2021
Last NPPES UpdateSeptember 1, 2021
NPPES CertifiedAugust 17, 2021
✔ NPI 1063188589 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.
1011 HORTON ROAD, Albertville, AL 35950

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Life Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20211028000558Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Life Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1770591950
5730 US HIGHWAY 431
Albertville, AL 35950
(259) 907-9700
✔ PECOS✔ Accepts Medicare2.0 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 01D2233543

New Life Family Medicine · Albertville, AL
Active · expires Aug 23, 2027
CLIA Number01D2233543
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorDedra Puckett
Laboratory Phone(256) 677-1475
Laboratory LocationNew Life Family Medicine1015 Horton Rd, Albertville, AL 35950
CLIA data matches this NPI record on: 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 New Life Family Medicine's NPI number?

The NPI number for New Life Family Medicine is 1063188589. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is New Life Family Medicine located?

New Life Family Medicine is located at 1011 Horton Road, Albertville, AL 35950. The listed phone number is (256) 677-1475.

What is New Life Family Medicine's specialty?

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

Is New Life Family Medicine enrolled in Medicare?

Yes. New Life Family Medicine is registered in the Medicare PECOS enrollment system.

When is New Life Family Medicine's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through New Life Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to New Life Family Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does New Life Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2233543) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Life Family Medicine was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.