GENERAL AND VASCULAR SURGERY OF NORTHWEST ALABMA, INC.
NPI 1154639227
Surgery - Vascular Surgery in Russellville, AL

Active since September 22, 2010
15225 HIGHWAY 43 STE D, RUSSELLVILLE, AL 35653(256) 332-1500(256) 398-8888 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Aug 1, 2017 (2 updates tracked since 2017).

About General And Vascular Surgery Of Northwest Alabma, Inc. NPPES

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

GENERAL AND VASCULAR SURGERY OF NORTHWEST ALABMA, INC. (NPI 1154639227) is a healthcare organization registered as a vascular surgery in Russellville, Alabama and active in the NPI registry since September 2010. The organization maintains a secondary practice location in Muscle Shoals and lists Jeffrey Manord, President, as its authorized official.

NPPES Registry Identity

NPI1154639227
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameGENERAL AND VASCULAR SURGERY OF NORTHWEST ALABMA, INC.
Location Address15225 HIGHWAY 43 STE DRussellville, AL 35653-1969
Mailing AddressPo Box 660Russellville, AL 35653-0616 · (256) 332-1500 · Fax (256) 398-8888
Fax(256) 398-8888
Organization SubpartNo
Authorized OfficialJeffrey ManordPresident · (256) 332-1500
Enumeration DateSeptember 22, 2010
Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
✔ NPI 1154639227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in AL · 23436
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
15225 HIGHWAY 43 STE D, Russellville, AL 35653

Secondary Practice Location 1

Location 1203 Avalon Ave Ste 120Muscle Shoals, AL 35661-2857 · Phone (256) 332-1500

Other Identifiers 2

Other511-17526Bcbs
Medicaid126776AL

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)

General And Vascular Surgery Of Northwest Alabma, Inc. 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 General And Vascular Surgery Of Northwest Alabma, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Vascular Surgery
NPI 1275587552
15225 HIGHWAY 43 STE D
Russellville, AL 35653
(256) 332-1500
✔ PECOS✔ Accepts MedicareSame 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 General And Vascular Surgery Of Northwest Alabma, Inc.'s NPI number?

The NPI number for General And Vascular Surgery Of Northwest Alabma, Inc. is 1154639227. It was assigned to this organization in the NPPES registry on September 22, 2010.

Where is General And Vascular Surgery Of Northwest Alabma, Inc. located?

General And Vascular Surgery Of Northwest Alabma, Inc. is located at 15225 Highway 43 Ste D, Russellville, AL 35653. The listed phone number is (256) 332-1500.

What is General And Vascular Surgery Of Northwest Alabma, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is General And Vascular Surgery Of Northwest Alabma, Inc. enrolled in Medicare?

Yes. General And Vascular Surgery Of Northwest Alabma, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through General And Vascular Surgery Of Northwest Alabma, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to General And Vascular Surgery Of Northwest Alabma, Inc.. 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.

When was this NPI record last updated?

The NPPES record for General And Vascular Surgery Of Northwest Alabma, Inc. was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.