THE VILLAGE MEDICAL CLINIC
NPI 1114968583
Specialist in Huntsville, AL

Active since June 09, 2006
2103 DRAKE AVE SW, HUNTSVILLE, AL 35805(256) 881-1616(256) 882-5322 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Village Medical Clinic NPPES

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

THE VILLAGE MEDICAL CLINIC (NPI 1114968583) is a healthcare organization registered as a specialist in Huntsville, Alabama and active in the NPI registry since June 2006. The organization lists Lisa Brabon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114968583
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE VILLAGE MEDICAL CLINIC
Location Address2103 DRAKE AVE SWHuntsville, AL 35805-5107
Mailing Address2103 Drake Ave SwHuntsville, AL 35805-5107 · (256) 881-1616 · Fax (256) 882-5322
Fax(256) 882-5322
Organization SubpartNo
Authorized OfficialLisa BrabonOffice Manager · (256) 881-1616
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114968583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2103 DRAKE AVE SW, Huntsville, AL 35805

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Village Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Village Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pediatric Medicine
NPI 1225004617
2103 DRAKE AVE SW
Huntsville, AL 35805
(256) 881-1616
✔ PECOSSame address
Internal Medicine
NPI 1982667788
2103 DRAKE AVE, SW
Huntsville, AL 35805
(256) 881-1616
✔ PECOSSame address

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 The Village Medical Clinic's NPI number?

The NPI number for The Village Medical Clinic is 1114968583. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is The Village Medical Clinic located?

The Village Medical Clinic is located at 2103 Drake Ave SW, Huntsville, AL 35805. The listed phone number is (256) 881-1616.

What is The Village Medical Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is The Village Medical Clinic enrolled in Medicare?

Yes. The Village Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Village Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to The Village Medical Clinic, in Internal Medicine and Pediatric 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Village Medical Clinic was last updated on August 22, 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.