SHOALS SURGICAL GROUP LLC
NPI 1124082789
Surgery in Sheffield, AL

Active since April 12, 2006
1100 S JACKSON HWY STE 101, SHEFFIELD, AL 35660(256) 772-6018(256) 383-0922 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2023, May 12, 2020 (2 updates tracked since 2020).

About Shoals Surgical Group Llc NPPES

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

SHOALS SURGICAL GROUP LLC (NPI 1124082789) is a healthcare organization registered as a surgery in Sheffield, Alabama and active in the NPI registry since April 2006. The organization lists William A Collignon, President, as its authorized official.

NPPES Registry Identity

NPI1124082789
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSHOALS SURGICAL GROUP LLC
Location Address1100 S JACKSON HWY STE 101Sheffield, AL 35660-5769
Mailing Address1100 S Jackson Hwy Ste 101Sheffield, AL 35660-5769 · (256) 772-6018 · Fax (256) 383-0922
Fax(256) 383-0922
Organization SubpartNo
Authorized OfficialWilliam A CollignonPresident · (256) 383-0423
Enumeration DateApril 12, 2006
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1124082789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1100 S JACKSON HWY STE 101, Sheffield, AL 35660

Other Identifiers 1

Medicaid529926510AL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoals Surgical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shoals Surgical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1174587257
501 EAST DR HICKS BLVD SUITE A
Florence, AL 35630
(256) 383-0423
✔ PECOS✔ Accepts Medicare4.2 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 Shoals Surgical Group LLC's NPI number?

The NPI number for Shoals Surgical Group LLC is 1124082789. It was assigned to this organization in the NPPES registry on April 12, 2006.

Where is Shoals Surgical Group LLC located?

Shoals Surgical Group LLC is located at 1100 S Jackson Hwy Ste 101, Sheffield, AL 35660. The listed phone number is (256) 772-6018.

What is Shoals Surgical Group LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shoals Surgical Group LLC enrolled in Medicare?

Yes. Shoals Surgical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoals Surgical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Shoals Surgical Group 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shoals Surgical Group LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Shoals Surgical Group 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 Shoals Surgical Group LLC was last updated on November 9, 2023. 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.