PICKENS COUNTY PRIMARY CARE, P.C
NPI 1063988806
Clinic/Center - Rural Health in Gordo, AL
About Pickens County Primary Care, P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PICKENS COUNTY PRIMARY CARE, P.C (NPI 1063988806) is a healthcare organization registered as a rural health in Gordo, Alabama and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates and lists Julia L Boothe, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pickens County Primary Care, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Pickens County Primary Care, P.C, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
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 2
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 01D0301960
Pickens County Primary Care PC · Reform, ALCertificate of Waiver 01D2197746
Pickens County Primary Care PC · Carrollton, ALFrequently 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 Pickens County Primary Care, P.C's NPI number?
The NPI number for Pickens County Primary Care, P.C is 1063988806. It was assigned to this organization in the NPPES registry on October 19, 2018.
Where is Pickens County Primary Care, P.C located?
Pickens County Primary Care, P.C is located at 630 4th St NW, Gordo, AL 35466. The listed phone number is (205) 375-6251.
What is Pickens County Primary Care, P.C's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Pickens County Primary Care, P.C enrolled in Medicare?
Yes. Pickens County Primary Care, P.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pickens County Primary Care, P.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Pickens County Primary Care, P.C. 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. The largest specialties are Nurse Practitioner (9), Family Practice (2) and Clinical Social Worker (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pickens County Primary Care, P.C hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Pickens County Primary Care, P.C was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Pickens County Primary Care, P.c · NPI 1063988806
Rural Health organization in Gordo, Alabama. Organization record, active in the CMS NPPES registry since October 19, 2018.
## Identity
- **NPI:** 1063988806 (Entity type: Organization)
- **Enumerated:** October 19, 2018
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** Yes (part of Pickens County Primary Care, P.c)
- **Authorized official:** Julia Boothe, OWNER
## Practice location
- **Address:** 630 4TH ST NW, Gordo, AL 35466
- **Phone:** (205) 375-6251 · **Fax:** (205) 375-9064
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (2), Clinical Social Worker (1); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063988806) · Data from the CMS NPPES public registry.