ISLAND MEDICAL ALABAMA LLC
NPI 1104097666
Emergency Medicine in Cullman, AL

Active since March 12, 2008
1912 AL HIGHWAY 157, CULLMAN, AL 35058(844) 474-4019 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2023, Oct 7, 2022, Jun 3, 2020 and 1 more (4 updates tracked since 2016).

About Island Medical Alabama Llc NPPES

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

ISLAND MEDICAL ALABAMA LLC (NPI 1104097666) is a healthcare organization registered as an emergency medicine in Cullman, Alabama and active in the NPI registry since March 2008. The organization lists Melissa Reese, Provider Enrollment Officer, as its authorized official.

NPPES Registry Identity

NPI1104097666
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameISLAND MEDICAL ALABAMA LLC
Location Address1912 AL HIGHWAY 157Cullman, AL 35058-0609
Mailing Address4535 Dressler Rd NwCanton, OH 44718-2545 · (330) 994-4409 · Fax (330) 492-8489
Organization SubpartNo
Authorized OfficialMelissa ReeseProvider Enrollment Officer · (855) 687-0618
Enumeration DateMarch 12, 2008
Last NPPES UpdateFebruary 24, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1104097666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1912 AL HIGHWAY 157, Cullman, AL 35058

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Island Medical Alabama Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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 IDO20080515000492Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

124

Medicare enrollment records show 124 clinicians reassign Medicare billing to Island Medical Alabama LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine59
Family Practice29
Nurse Practitioner24
Internal Medicine7
Hospitalist5

Nearest to this location (20)

See all 124
Emergency Medicine
NPI 1033420344
1912 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346812716
1912 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1669121075
1912 AL-157
Cullman, AL 35058
(256) 737-2000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1811984149
1890 AL HIGHWAY 157
Cullman, AL 35058
(256) 903-0300
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1912533878
1912 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2000
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1164133880
1890 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1073257226
1912 AL HIGHWAY 157
Cullman, AL 35058
(917) 818-8269
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1417420704
408 CLARK ST NE
Cullman, AL 35055
(256) 734-3202
✔ PECOS✔ Accepts Medicare2.4 mi
Emergency Medicine
NPI 1508937723
210 MAIN AVE SW
Cullman, AL 35055
(256) 735-9475
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1609442052
1912 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2000
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1699302174
1958 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2090
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1144799693
1958 AL HIGHWAY 157
Cullman, AL 35058
(256) 735-5920
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1134449838
1912 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2106
✔ PECOS4.1 mi
Emergency Medicine
NPI 1639739154
1958 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2090
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1124598842
1912 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2000
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1427443944
1549 HIGHWAY 31 NW
Hartselle, AL 35640
(256) 735-5920
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1093212342
68 MARCO DR
Decatur, AL 35603
(256) 973-5650
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1598108870
8000 AL HIGHWAY 69 # ER
Guntersville, AL 35976
(256) 571-8000
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1427651132
2040 2ND AVE E
Oneonta, AL 35121
(205) 274-9700
✔ PECOS✔ Accepts Medicare26 mi
Emergency Medicine
NPI 1508822842
2337 HOMER CLAYTON DRIVE
Guntersville, AL 35976
(256) 582-5131
✔ PECOS30 mi
See all 124 clinicians

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

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 Island Medical Alabama LLC's NPI number?

The NPI number for Island Medical Alabama LLC is 1104097666. It was assigned to this organization in the NPPES registry on March 12, 2008.

Where is Island Medical Alabama LLC located?

Island Medical Alabama LLC is located at 1912 Al Highway 157, Cullman, AL 35058. The listed phone number is (844) 474-4019.

What is Island Medical Alabama LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Island Medical Alabama LLC enrolled in Medicare?

Yes. Island Medical Alabama LLC is registered in the Medicare PECOS enrollment system.

When is Island Medical Alabama LLC'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 February 28, 2027. 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 Island Medical Alabama LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 124 clinicians in 5 Medicare specialties reassign their Medicare billing to Island Medical Alabama 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 Emergency Medicine (59), Family Practice (29) and Nurse Practitioner (24). Of these, 2 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Island Medical Alabama LLC was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.