1. Home
  2. Directory
  3. Alabama
  4. Decatur
  5. Otolaryngology
  6. NPI Profile

DECATUR ENT ASSOCIATES P C
NPI 1164487708
Otolaryngology - Facial Plastic Surgery in Decatur, AL

Active since April 18, 2006
1218 13TH AVE SE, DECATUR, AL 35601(256) 355-6200(256) 355-6241 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 lists Shondra Clark, Billing/insurance, as its authorized official.

NPPES Registry Identity

NPI1164487708
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameDECATUR ENT ASSOCIATES P C
Location Address1218 13TH AVE SEDecatur, AL 35601-4307
Mailing Address1218 13th Ave SeDecatur, AL 35601-4307 · (256) 355-6200 · Fax (256) 355-6241
Phone(256) 355-6200
Fax(256) 355-6241
Organization SubpartNo
Authorized OfficialShondra ClarkBilling/insurance · (256) 355-6200
Enumeration DateApril 18, 2006
Last NPPES UpdateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1164487708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X
1218 13TH AVE SE, Decatur, AL 35601
Open in Google Maps ↗

Other Identifiers 3

OtherD380AL · Bcbs Of Al Group#
Medicaid529001940AL
OtherCM6320AL · Railroad Medicare

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

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, AL
Expired · Jul 27, 2026
CLIA Number01D0676999
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorSage K. Copeland
Laboratory Phone(256) 355-6200
Laboratory LocationDecatur Ent Associates1218 13th Ave SE, Decatur, AL 35601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PIA KARISMA NEBRES DPT
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-5015
SHAWNA MARIE CADARETTE DPT
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-5015
ALEXANDRIA ERIN CLEMONS
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-5015
DR. SAGE KINNEY COPELAND M.D., F.A.C.S.
Otolaryngology
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 355-6200
MRS. KATHRYN SULCER RPT
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 355-6200
DR. GEORGE H GODWIN III M.D., F.A.C.S.
Otolaryngology
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 355-6200
AALIYAH JANAY JARMAN
Physical Therapist
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 351-5015
DR. BENJAMIN W LIGHT M.D., F.A.C.S.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1218 13TH AVE SE
DECATUR, AL 35601
Morgan County (256) 355-6200

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 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.

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.