GLADSTONE PRIMARY CARE PC
NPI 1134825003
Family Medicine in Hartselle, AL
About Gladstone Primary Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLADSTONE PRIMARY CARE PC (NPI 1134825003) is a healthcare organization registered as a family medicine in Hartselle, Alabama and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Juliana Clark, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gladstone Primary Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Gladstone Primary Care PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 01D2284730
Gladstone Primary Care PC · Hartselle, ALFrequently 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 Gladstone Primary Care PC's NPI number?
The NPI number for Gladstone Primary Care PC is 1134825003. It was assigned to this organization in the NPPES registry on February 2, 2023.
Where is Gladstone Primary Care PC located?
Gladstone Primary Care PC is located at 301 Pine St NW Ste A, Hartselle, AL 35640. The listed phone number is (256) 773-6017.
What is Gladstone Primary Care PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gladstone Primary Care PC enrolled in Medicare?
Yes. Gladstone Primary Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gladstone Primary Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gladstone Primary Care PC, in Family Practice and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gladstone Primary Care PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2284730) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gladstone Primary Care PC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Gladstone Primary Care Pc · NPI 1134825003
Family Medicine organization in Hartselle, Alabama. Organization record, active in the CMS NPPES registry since February 2, 2023.
## Identity
- **NPI:** 1134825003 (Entity type: Organization)
- **Enumerated:** February 2, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Juliana Clark, CO-OWNER
## Practice location
- **Address:** 301 PINE ST NW STE A, Hartselle, AL 35640-2339
- **Phone:** (256) 773-6017 · **Fax:** (256) 773-7834
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134825003) · Data from the CMS NPPES public registry.