SAND MOUNTAIN FAMILY PRACTICE CENTER, P. C.
NPI 1255349346
Family Medicine in Albertville, AL
About Sand Mountain Family Practice Center, P. C. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAND MOUNTAIN FAMILY PRACTICE CENTER, P. C. (NPI 1255349346) is a healthcare organization registered as a family medicine in Albertville, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Michael Wayne Peters, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sand Mountain Family Practice Center, P. C. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Sand Mountain Family Practice Center, P. C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 01D0303594
Sand Mountain Family Practice Center · Albertville, 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 Sand Mountain Family Practice Center, P. C.'s NPI number?
The NPI number for Sand Mountain Family Practice Center, P. C. is 1255349346. It was assigned to this organization in the NPPES registry on August 4, 2006.
Where is Sand Mountain Family Practice Center, P. C. located?
Sand Mountain Family Practice Center, P. C. is located at 5104 Us Highway 431, Albertville, AL 35950. The listed phone number is (256) 878-8180.
What is Sand Mountain Family Practice Center, P. C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sand Mountain Family Practice Center, P. C. enrolled in Medicare?
Yes. Sand Mountain Family Practice Center, P. C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sand Mountain Family Practice Center, P. C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Sand Mountain Family Practice 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 Nurse Practitioner (3) and Family Practice (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sand Mountain Family Practice Center, P. C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0303594) is associated with this NPI, valid through August 16, 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 Sand Mountain Family Practice Center, P. C. was last updated on April 20, 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.
# Sand Mountain Family Practice Center, P. C. · NPI 1255349346
Family Medicine organization in Albertville, Alabama. Organization record, active in the CMS NPPES registry since August 4, 2006.
## Identity
- **NPI:** 1255349346 (Entity type: Organization)
- **Enumerated:** August 4, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Michael Peters, PRESIDENT
## Practice location
- **Address:** 5104 US HIGHWAY 431, Albertville, AL 35950-0237
- **Phone:** (256) 878-8180 · **Fax:** (256) 891-3693
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2008
- **Other identifiers:** Medicare NSC 0656550001; Medicare PIN C11093; Medicare PIN D488
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255349346) · Data from the CMS NPPES public registry.