WADDELL CENTER FAMILY MEDICINE
NPI 1104353226
Family Medicine in Athens, AL

Q: What is Waddell Center Family Medicine's NPI number?

The NPI number for Waddell Center Family Medicine is 1104353226. It was assigned to this organization in the NPPES registry on May 19, 2017.

Q: What is Waddell Center Family Medicine's specialty?

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

Active since May 19, 2017

902 W WASHINGTON ST, ATHENS, AL 35611(256) 216-9777(256) 216-9776 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2024, Jul 21, 2022, May 19, 2017 (3 updates tracked since 2017).

On this page

About Waddell Center Family Medicine NPPES

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

WADDELL CENTER FAMILY MEDICINE (NPI 1104353226) is a healthcare organization registered as a family medicine in Athens, Alabama and active in the NPI registry since May 2017. The organization lists Sebrina B Holt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104353226

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWADDELL CENTER FAMILY MEDICINE

Location Address902 W WASHINGTON STAthens, AL 35611-2438

Mailing Address902 W Washington StAthens, AL 35611-2438 · (256) 216-9777 · Fax (256) 216-9776

Phone(256) 216-9777

Fax(256) 216-9776

Organization SubpartNo

Authorized OfficialSebrina B HoltExecutive Director · (256) 216-9648

Enumeration DateMay 19, 2017

Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2024

✔ NPI 1104353226 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.

902 W WASHINGTON ST, Athens, AL 35611

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Other Identifiers 1

MedicaidPENDINGAL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Waddell Center Family Medicine, 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 (5)

Phillip Ingram, MD

Family Practice

NPI 1255950994

902 W WASHINGTON ST
Athens, AL 35611

(256) 216-9777

✔ PECOS✔ Accepts MedicareSame address

Samantha Ross, M.D.

Family Practice

NPI 1700089893

1005 W MARKET ST SUITE 7
Athens, AL 35611

(256) 262-6680

✔ PECOS✔ Accepts Medicare1.2 mi

William Woodall, MD

Family Practice

NPI 1720298375

1005 W MARKET ST SUITE 7
Athens, AL 35611

(256) 262-6680

✔ PECOS✔ Accepts Medicare1.2 mi

Neha Patel, CRNP

Nurse Practitioner

NPI 1871871517

15243 GREENFIELD DR
Athens, AL 35613

(256) 771-0994

✔ PECOS✔ Accepts Medicare2.4 mi

Jaclyn Collie, CRNP

Nurse Practitioner

NPI 1922509520

3625 S HICKORY ST STE 102
Loxley, AL 36551

(251) 677-6800

✔ PECOS✔ Accepts Medicare292 mi

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 Waddell Center Family Medicine's NPI number?

The NPI number for Waddell Center Family Medicine is 1104353226. It was assigned to this organization in the NPPES registry on May 19, 2017.

Where is Waddell Center Family Medicine located?

Waddell Center Family Medicine is located at 902 W Washington St, Athens, AL 35611. The listed phone number is (256) 216-9777.

What is Waddell Center Family Medicine's specialty?

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

Is Waddell Center Family Medicine enrolled in Medicare?

Yes. Waddell Center Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waddell Center Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Waddell Center 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. The largest specialties are Family Practice (3) and Nurse Practitioner (2). 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.

What insurance does Waddell Center Family Medicine accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Waddell Center Family Medicine 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 Waddell Center Family Medicine 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.