DECATUR ENT ASSOCIATES P C
NPI 1164487708
Otolaryngology - Facial Plastic Surgery in Decatur, AL
About Decatur Ent Associates P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DECATUR ENT ASSOCIATES P C (NPI 1164487708) is a healthcare organization registered as a facial plastic surgery in Decatur, Alabama and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through July 27, 2028 and lists Shondra Clark, Billing/insurance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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)
Decatur Ent Associates P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Decatur Ent Associates P C, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 01D0676999
Decatur Ent Associates · Decatur, 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 Decatur Ent Associates P C's NPI number?
The NPI number for Decatur Ent Associates P C is 1164487708. It was assigned to this organization in the NPPES registry on April 18, 2006.
Where is Decatur Ent Associates P C located?
Decatur Ent Associates P C is located at 1218 13th Ave SE, Decatur, AL 35601. The listed phone number is (256) 355-6200.
What is Decatur Ent Associates P C's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.
Is Decatur Ent Associates P C enrolled in Medicare?
Yes. Decatur Ent Associates P C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Decatur Ent Associates P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Decatur Ent Associates P C. 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. The largest specialties are Physical Therapist in Private Practice (5), Otolaryngology (3) and Nurse Practitioner (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Decatur Ent Associates P C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0676999) is associated with this NPI, valid through July 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Decatur Ent Associates P C was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Decatur Ent Associates P C · NPI 1164487708
Facial Plastic Surgery organization in Decatur, Alabama. Organization record, active in the CMS NPPES registry since April 18, 2006.
## Identity
- **NPI:** 1164487708 (Entity type: Organization)
- **Enumerated:** April 18, 2006
- **Primary specialty:** Otolaryngology - Facial Plastic Surgery · taxonomy 207YS0123X
- **Organization subpart:** No
- **Authorized official:** Shondra Clark, BILLING/INSURANCE
## Practice location
- **Address:** 1218 13TH AVE SE, Decatur, AL 35601-4307
- **Phone:** (256) 355-6200 · **Fax:** (256) 355-6241
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (5), Otolaryngology (3), Nurse Practitioner (1); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2023
- **Other identifiers:** Other D380 (AL); Medicaid 529001940 (AL); Other CM6320 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164487708) · Data from the CMS NPPES public registry.