ELKMONT COMMUNITY CARE
NPI 1194207084
Family Medicine in Elkmont, AL

Active since September 06, 2018
25442 AL HIGHWAY 127, ELKMONT, AL 35620(256) 732-3712(256) 732-3714 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2024, Sep 6, 2018 (2 updates tracked since 2018).

About Elkmont Community Care NPPES

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

ELKMONT COMMUNITY CARE (NPI 1194207084) is a healthcare organization registered as a family medicine in Elkmont, Alabama and active in the NPI registry since September 2018. The organization lists Sebrina B Holt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194207084
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELKMONT COMMUNITY CARE
Location Address25442 AL HIGHWAY 127Elkmont, AL 35620-6608
Mailing Address25442 Al Highway 127Elkmont, AL 35620-6608 · (256) 732-3712 · Fax (256) 732-3714
Fax(256) 732-3714
Organization SubpartNo
Authorized OfficialSebrina B HoltExecutive Director · (256) 216-9648
Enumeration DateSeptember 6, 2018
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1194207084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25442 AL HIGHWAY 127, Elkmont, AL 35620

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elkmont Community Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Elkmont Community Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1922416312
25442 AL HIGHWAY 127
Elkmont, AL 35620
(256) 732-3712
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1710517206
1005 W MARKET ST STE 7
Athens, AL 35611
(256) 216-9744
✔ PECOS✔ Accepts Medicare8.5 mi
Nurse Practitioner
NPI 1124668132
101 FITNESS WAY STE 1200
Athens, AL 35611
(256) 236-0636
✔ PECOS✔ Accepts Medicare8.5 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 01D2155940

Elkmont Community Care · Elkmont, AL
Expired · Oct 8, 2026
CLIA Number01D2155940
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorJessica Smith
Laboratory Phone(256) 732-3712
Laboratory LocationElkmont Community Care25442 Al Highway 127, Elkmont, AL 35620
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 Elkmont Community Care's NPI number?

The NPI number for Elkmont Community Care is 1194207084. It was assigned to this organization in the NPPES registry on September 6, 2018.

Where is Elkmont Community Care located?

Elkmont Community Care is located at 25442 Al Highway 127, Elkmont, AL 35620. The listed phone number is (256) 732-3712.

What is Elkmont Community Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elkmont Community Care enrolled in Medicare?

Yes. Elkmont Community Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elkmont Community Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Elkmont Community Care. 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, 1 practice at this address and 3 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 Elkmont Community Care was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.