NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST
NPI 1164083218
Surgery - Vascular Surgery in Albertville, AL

Q: What is Northeast Alabama Vascular And Vein Specialist's specialty?

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

Active since June 27, 2019

11491 US HIGHWAY 431, ALBERTVILLE, AL 35950(256) 894-6800(256) 894-6808 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Northeast Alabama Vascular And Vein Specialist NPPES

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

NORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST (NPI 1164083218) is a healthcare organization registered as a vascular surgery in Albertville, Alabama and active in the NPI registry since June 2019. The organization lists Taylor Walker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164083218

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameNORTHEAST ALABAMA VASCULAR AND VEIN SPECIALIST

Location Address11491 US HIGHWAY 431Albertville, AL 35950-0136

Mailing Address227 Brittany RdGuntersville, AL 35976-5766 · (256) 894-6800 · Fax (256) 894-6808

Phone(256) 894-6800

Fax(256) 894-6808

Organization SubpartYesParent: Hh Health System - Marshall Llc

Authorized OfficialTaylor WalkerCfo · (256) 894-6600

Enumeration DateJune 27, 2019

✔ NPI 1164083218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

11491 US HIGHWAY 431, Albertville, AL 35950

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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)

Northeast Alabama Vascular And Vein Specialist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Northeast Alabama Vascular And Vein Specialist, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jeremy Shultz, CRNP

Nurse Practitioner

NPI 1902342983

2505 US HIGHWAY 431
Boaz, AL 35957

(256) 894-6800

✔ PECOS8.9 mi

Alan Willis, M.D.

Vascular Surgery

NPI 1225219256

2505 US HIGHWAY 431
Boaz, AL 35957

(256) 894-6800

✔ PECOS8.9 mi

Sean English, MD

Vascular Surgery

NPI 1578772513

3140 S FALKENBURG RD STE 202
Riverview, FL 33578

(813) 348-9088

✔ PECOS✔ Accepts Medicare498 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 Northeast Alabama Vascular And Vein Specialist's NPI number?

The NPI number for Northeast Alabama Vascular And Vein Specialist is 1164083218. It was assigned to this organization in the NPPES registry on June 27, 2019.

Where is Northeast Alabama Vascular And Vein Specialist located?

Northeast Alabama Vascular And Vein Specialist is located at 11491 Us Highway 431, Albertville, AL 35950. The listed phone number is (256) 894-6800.

What is Northeast Alabama Vascular And Vein Specialist's specialty?

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

Is Northeast Alabama Vascular And Vein Specialist enrolled in Medicare?

Yes. Northeast Alabama Vascular And Vein Specialist is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Alabama Vascular And Vein Specialist?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Northeast Alabama Vascular And Vein Specialist, in Nurse Practitioner and Vascular Surgery. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Alabama Vascular And Vein Specialist was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.