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SELF-RECOVERY, LLC
NPI 1255409447
General Acute Care Hospital in Lanett, AL

Active since December 04, 2006
106 N LANIER AVE, LANETT, AL 36863(334) 644-6848(334) 644-5443 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2024, Oct 10, 2024, May 9, 2016 (3 updates tracked since 2016).

About Self-recovery, Llc NPPES

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

SELF-RECOVERY, LLC (NPI 1255409447) is a healthcare organization registered as a general acute care hospital in Lanett, Alabama and active in the NPI registry since December 2006. The organization lists Tommy Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1255409447
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSELF-RECOVERY, LLC
Location Address106 N LANIER AVELanett, AL 36863-2014
Mailing Address106 N Lanier AveLanett, AL 36863-2014 · (334) 644-6848 · Fax (334) 644-5543
Phone(334) 644-6848
Fax(334) 644-5443
Organization SubpartNo
Authorized OfficialTommy MooreOwner · (334) 644-6848
Enumeration DateDecember 4, 2006
Last NPPES UpdateDecember 9, 20243 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1255409447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in AL · 00022660
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
106 N LANIER AVE, Lanett, AL 36863
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Other Identifiers 2

Other51529504AL · Blue Cross Blue Shield
Medicaid051555920AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Self-recovery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Self-Recovery, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice4
Internal Medicine3
Emergency Medicine1
General Practice1
Pain Management1

Clinicians, nearest first (10)

Tahir Siddiq, M.D.
Internal Medicine
NPI 1174631758
102 CONECUH AVE W
Union Springs, AL 36089
(334) 738-2140
✔ PECOS✔ Accepts Medicare58 mi
Almena Free, M.D.
Internal Medicine
NPI 1144244070
400 E 10TH ST
Anniston, AL 36207
(256) 236-5631
✔ PECOS66 mi
Louis Divalentin, M.D.
Internal Medicine
NPI 1982625869
1010 CHRISTINE AVE
Anniston, AL 36207
(256) 236-5631
✔ PECOS✔ Accepts Medicare66 mi
Carla Thomas, M.D.
Family Practice
NPI 1194786830
1401 WOODSTOCK AVE
Anniston, AL 36207
(256) 237-0215
✔ PECOS✔ Accepts Medicare66 mi
William Perry, M.D.
Family Practice
NPI 1538184635
401 NORTHWOOD DR
Centre, AL 35960
(256) 927-3607
✔ PECOS✔ Accepts Medicare93 mi
Charles Tompkins, M.D.
Family Practice
NPI 1760418438
1704 S FOREST AVE
Luverne, AL 36049
(334) 335-3383
✔ PECOS✔ Accepts Medicare103 mi
Carl Blankenship, MD
Pain Management
NPI 1912922428
200 MEDICAL CENTER DR SW
Fort Payne, AL 35968
(256) 845-3150
✔ PECOS✔ Accepts Medicare113 mi
Judy Travis, MD
General Practice
NPI 1518051788
123 EAST CAPITOL STREET
Demopolis, AL 36732
(334) 289-9408
✔ PECOS✔ Accepts Medicare156 mi
Salahuddin Farooqui, MD
Family Practice
NPI 1447353982
509 WILSON AVE
Eutaw, AL 35462
(205) 372-4035
✔ PECOS157 mi
Michael Gordon, MD
Emergency Medicine
NPI 1235240516
751 DERBY DR
York, AL 36925
(205) 392-5263
✔ PECOS183 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Self-Recovery, LLC's NPI number?

The NPI number for Self-Recovery, LLC is 1255409447. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Self-Recovery, LLC located?

Self-Recovery, LLC is located at 106 N Lanier Ave, Lanett, AL 36863. The listed phone number is (334) 644-6848.

What is Self-Recovery, LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Self-Recovery, LLC enrolled in Medicare?

Yes. Self-Recovery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Self-Recovery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Self-Recovery, LLC. 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 Family Practice (4), Internal Medicine (3) and Emergency Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Self-Recovery, LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.