PREMIER MEDICAL CLINIC LLC
NPI 1083955173
Clinic/Center - Multi-Specialty in Scottsboro, AL
About Premier Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER MEDICAL CLINIC LLC (NPI 1083955173) is a healthcare organization registered as a multi-specialty in Scottsboro, Alabama and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Muhammad Ata, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Premier Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 21Pisgah, AL 35765
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 01D2055996
Premier Medical Clinic LLC · Scottsboro, 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 Premier Medical Clinic LLC's NPI number?
The NPI number for Premier Medical Clinic LLC is 1083955173. It was assigned to this organization in the NPPES registry on March 14, 2013.
Where is Premier Medical Clinic LLC located?
Premier Medical Clinic LLC is located at 503 Burlington Street, Scottsboro, AL 35768. The listed phone number is (256) 259-1886.
What is Premier Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Premier Medical Clinic LLC enrolled in Medicare?
Yes. Premier Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 6 Medicare specialties reassign their Medicare billing to Premier Medical Clinic LLC. 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 (4) and Pediatric Medicine (3). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premier Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2055996) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Premier Medical Clinic LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Premier Medical Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Premier Medical Clinic LLC was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Premier Medical Clinic Llc · NPI 1083955173
Multi-Specialty organization in Scottsboro, Alabama. Organization record, active in the CMS NPPES registry since March 14, 2013.
## Identity
- **NPI:** 1083955173 (Entity type: Organization)
- **Enumerated:** March 14, 2013
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Muhammad Ata, OWNER
## Practice location
- **Address:** 503 BURLINGTON STREET, Scottsboro, AL 35768
- **Phone:** (256) 259-1886
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (4), Pediatric Medicine (3); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1083955173/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083955173) · Data from the CMS NPPES public registry.