BOAZ AND ALBERTVILLE FAMILY CARE, LLC
NPI 1245827203
Clinic/Center in Boaz, AL
About Boaz And Albertville Family Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOAZ AND ALBERTVILLE FAMILY CARE, LLC (NPI 1245827203) is a healthcare organization registered as a clinic/center in Boaz, Alabama and active in the NPI registry since December 2020. The organization holds a CLIA Microscopy certificate valid through March 17, 2027 and lists Messalina Jordan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boaz And Albertville Family Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Boaz And Albertville Family Care, LLC, 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)
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 for Provider-Performed Microscopy Procedures (PPMP) 01D2163569
Boaz And Albertville Family Care LLC · Boaz, 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 Boaz And Albertville Family Care, LLC's NPI number?
The NPI number for Boaz And Albertville Family Care, LLC is 1245827203. It was assigned to this organization in the NPPES registry on December 24, 2020.
Where is Boaz And Albertville Family Care, LLC located?
Boaz And Albertville Family Care, LLC is located at 214 S Mccleskey St Ste 863, Boaz, AL 35957. The listed phone number is (256) 849-0500.
What is Boaz And Albertville Family Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Boaz And Albertville Family Care, LLC enrolled in Medicare?
Yes. Boaz And Albertville Family Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boaz And Albertville Family Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Boaz And Albertville Family Care, LLC, 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Boaz And Albertville Family Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D2163569) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Boaz And Albertville Family Care, LLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Boaz And Albertville Family Care, Llc · NPI 1245827203
Clinic/Center organization in Boaz, Alabama. Organization record, active in the CMS NPPES registry since December 24, 2020.
## Identity
- **NPI:** 1245827203 (Entity type: Organization)
- **Enumerated:** December 24, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Messalina Jordan, OWNER
## Practice location
- **Address:** 214 S MCCLESKEY ST STE 863, Boaz, AL 35957-2187
- **Phone:** (256) 849-0500 · **Fax:** (339) 770-7908
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1245827203) · Data from the CMS NPPES public registry.