CRADDOCK HEALTH CENTER P C
NPI 1184669483
Internal Medicine in Sylacauga, AL

Active since June 19, 2006
209 W SPRING ST, SUITE 200, SYLACAUGA, AL 35150(256) 245-5241(256) 245-0194 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Craddock Health Center P C NPPES

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

CRADDOCK HEALTH CENTER P C (NPI 1184669483) is a healthcare organization registered as an internal medicine in Sylacauga, Alabama and active in the NPI registry since June 2006. The organization lists Donna B Hernandez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184669483
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCRADDOCK HEALTH CENTER P C
Location Address209 W SPRING ST, SUITE 200Sylacauga, AL 35150-2973
Mailing Address209 W Spring St, Suite 200Sylacauga, AL 35150-2973 · (256) 245-5241 · Fax (256) 245-0194
Fax(256) 245-0194
Organization SubpartNo
Authorized OfficialDonna B HernandezOffice Manager · (256) 245-5241
Enumeration DateJune 19, 2006
Last NPPES UpdateMay 7, 2008
✔ NPI 1184669483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
209 W SPRING ST, Sylacauga, AL 35150

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craddock Health Center P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20051024000652Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Craddock Health Center P C, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Internal Medicine
NPI 1073527826
209 W SPRING ST SUITE 200
Sylacauga, AL 35150
(256) 245-5241
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1093725624
209 W SPRING ST SUITE 200
Sylacauga, AL 35150
(256) 245-5241
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1285648048
209 W SPRING ST SUITE 200
Sylacauga, AL 35150
(256) 245-5241
✔ PECOSSame address
Internal Medicine
NPI 1508966920
209 WEST SPRING STREET SUITE 200
Sylacauga, AL 35150
(256) 245-5241
✔ PECOSSame address
Internal Medicine
NPI 1962852053
209 W SPRING ST STE 200
Sylacauga, AL 35150
(256) 245-5241
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1689688111
209 W SPRING ST SUITE 200
Sylacauga, AL 35150
(256) 245-5241
✔ PECOS0.3 mi
Internal Medicine
NPI 1780698225
209 W SPRING ST SUITE 200
Sylacauga, AL 35150
(256) 245-5241
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1669239224
2508 HIGHWAY 280
Alexander City, AL 35010
(256) 414-3013
✔ PECOS✔ Accepts Medicare25 mi

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 01D2196855

Craddock Health Center, PC · Sylacauga, AL
Expired · Oct 19, 2026
CLIA Number01D2196855
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorLaura Deichmann
Laboratory Phone(256) 245-5241
Laboratory LocationCraddock Health Center, PC209 West Spring Street, Suite 200, Sylacauga, AL 35150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Craddock Health Center P C's NPI number?

The NPI number for Craddock Health Center P C is 1184669483. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Craddock Health Center P C located?

Craddock Health Center P C is located at 209 W Spring St Suite 200, Sylacauga, AL 35150. The listed phone number is (256) 245-5241.

What is Craddock Health Center P C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Craddock Health Center P C enrolled in Medicare?

Yes. Craddock Health Center P C is registered in the Medicare PECOS enrollment system.

When is Craddock Health Center P C's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Craddock Health Center P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Craddock Health Center 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 Internal Medicine (7) and Nurse Practitioner (1). Of these, 5 practice at this address and 7 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 Craddock Health Center P C was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.