FAMILY MEDICINE OF SARDIS PC
NPI 1245398304
Family Medicine in Sardis City, AL

Q: What is Family Medicine Of Sardis PC's NPI number?

The NPI number for Family Medicine Of Sardis PC is 1245398304. It was assigned to this organization in the NPPES registry on December 4, 2006.

Q: What is Family Medicine Of Sardis PC's specialty?

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

Active since December 04, 2006CLIA 01D1024195 · Waiver

1180 SARDIS DR, SARDIS CITY, AL 35956(256) 593-9999(256) 593-9141 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Family Medicine Of Sardis Pc NPPES

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

FAMILY MEDICINE OF SARDIS PC (NPI 1245398304) is a healthcare organization registered as a family medicine in Sardis City, Alabama and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Evan Michael Johnson, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1245398304

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAMILY MEDICINE OF SARDIS PC

Location Address1180 SARDIS DRSardis City, AL 35956-2139

Mailing AddressPo Box 1049Boaz, AL 35957-2201 · (256) 593-9999 · Fax (256) 593-9141

Phone(256) 593-9999

Fax(256) 593-9141

Organization SubpartNo

Authorized OfficialEvan Michael JohnsonPresident, Owner · (256) 593-9999

Enumeration DateDecember 4, 2006

Last NPPES UpdateDecember 11, 2007

✔ NPI 1245398304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AL · DO779

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.

1180 SARDIS DR, Sardis City, AL 35956

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Other Identifiers 1

Medicare PINJ840AL

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)

Family Medicine Of Sardis Pc 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 Family Medicine Of Sardis PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Evan Johnson, D.O.

Family Practice

NPI 1659399772

1180 SARDIS DR
Sardis City, AL 35956

(256) 593-9999

✔ PECOS✔ Accepts MedicareSame address

April Miller

Nurse Practitioner

NPI 1548621220

2337 HOMER CLAYTON DR
Guntersville, AL 35976

(256) 582-5131

✔ PECOS✔ Accepts Medicare16 mi

Misty Holcomb, NP

Nurse Practitioner

NPI 1912154956

2425 HIGHWAY 77
Southside, AL 35907

(256) 442-4141

✔ PECOS✔ Accepts Medicare19 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 01D1024195

Family Medicine Of Sardis PC · Boaz, AL

Active · expires Apr 4, 2028

CLIA Number01D1024195

Laboratory TypePhysician Office

Certificate Effective DateApril 5, 2026

Certificate Expiration DateApril 4, 2028

Laboratory DirectorEvan M. Johnson Do

Laboratory Phone(256) 593-9999

Laboratory LocationFamily Medicine Of Sardis PC1180 Sardis Drive, Boaz, AL 35956

CLIA data matches this NPI record on: 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 Family Medicine Of Sardis PC's NPI number?

The NPI number for Family Medicine Of Sardis PC is 1245398304. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Family Medicine Of Sardis PC located?

Family Medicine Of Sardis PC is located at 1180 Sardis Dr, Sardis City, AL 35956. The listed phone number is (256) 593-9999.

What is Family Medicine Of Sardis PC's specialty?

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

Is Family Medicine Of Sardis PC enrolled in Medicare?

Yes. Family Medicine Of Sardis PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine Of Sardis PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Medicine Of Sardis PC, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medicine Of Sardis PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1024195) is associated with this NPI, valid through April 4, 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 Family Medicine Of Sardis PC was last updated on December 11, 2007. 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.