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CAPSHAW FAMILY CARE
NPI 1104260256
Family Medicine in Harvest, AL

Active since April 19, 2013CLIA 01D2002000 · Waiver
27669 CAPSHAW RD STE A2, HARVEST, AL 35749(256) 216-1996(256) 216-1940 Get Directions Write a Review

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

About Capshaw Family Care NPPES

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

CAPSHAW FAMILY CARE (NPI 1104260256) is a healthcare organization registered as a family medicine in Harvest, Alabama and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Sebrina B Holt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104260256
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCAPSHAW FAMILY CARE
Location Address27669 CAPSHAW RD STE A2Harvest, AL 35749-6212
Mailing AddressPo Box 999Athens, AL 35612-0999 · (256) 216-1996 · Fax (256) 216-1940
Phone(256) 216-1996
Fax(256) 216-1940
Organization SubpartNo
Authorized OfficialSebrina B HoltExecutive Director · (256) 216-9648
Enumeration DateApril 19, 2013
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1104260256 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.
27669 CAPSHAW RD STE A2, Harvest, AL 35749
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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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Capshaw Family Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Bridget Fox, CRNP
Nurse Practitioner
NPI 1417026964
27669 CAPSHAW RD STE A2
Harvest, AL 35749
(256) 216-1996
✔ PECOS✔ Accepts MedicareSame address
Erin Percy, CRNP
Nurse Practitioner
NPI 1275991655
102 ESSEX CT SUITE A
Madison, AL 35758
(256) 461-8442
✔ PECOS✔ Accepts Medicare7.9 mi
Wallace Seay, M.D., M.P.H.
Emergency Medicine
NPI 1033274956
700 W MARKET ST
Athens, AL 35611
(256) 233-9151
✔ PECOS✔ Accepts Medicare8.7 mi
Tammy Mcwhirter, NP
Nurse Practitioner
NPI 1710517206
1005 W MARKET ST STE 7
Athens, AL 35611
(256) 216-9744
✔ PECOS✔ Accepts Medicare8.8 mi
Neal Flaherty, CRNP
Nurse Practitioner
NPI 1982433421
4715 WHITESBURG DR SE
Huntsville, AL 35802
(256) 881-5151
✔ PECOS✔ Accepts Medicare16 mi
Tiffany Comer, CRNP
Nurse Practitioner
NPI 1639847650
16053 HIGHWAY 72
Rogersville, AL 35652
(256) 262-6060
✔ PECOS✔ Accepts Medicare27 mi
Marilyn Carroll, CRNP
Nurse Practitioner
NPI 1922587989
15477 VENTURA BLVD STE 101
Sherman Oaks, CA 91403
(760) 835-4213
✔ PECOS✔ Accepts Medicare1,799 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 01D2002000

Capshaw Family Care · Harvest, AL
Active · expires Jan 4, 2028
CLIA Number01D2002000
Laboratory TypeHosp Outpatient Phlebotom
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorDr. Wallace Seay MD
Laboratory Phone(256) 216-1996
Laboratory LocationCapshaw Family Care27669 Capshaw Rd Ste C, Harvest, AL 35749
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 Capshaw Family Care's NPI number?

The NPI number for Capshaw Family Care is 1104260256. It was assigned to this organization in the NPPES registry on April 19, 2013.

Where is Capshaw Family Care located?

Capshaw Family Care is located at 27669 Capshaw Rd Ste A2, Harvest, AL 35749. The listed phone number is (256) 216-1996.

What is Capshaw Family Care's specialty?

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

Is Capshaw Family Care enrolled in Medicare?

Yes. Capshaw Family Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capshaw Family Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Capshaw Family 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. The largest specialties are Nurse Practitioner (6) and Emergency Medicine (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Capshaw Family Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2002000) is associated with this NPI, valid through January 4, 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 Capshaw Family 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.