DIABETES AND WELLNESS CLINIC OF THE SHOALS
NPI 1255892865
Clinic/Center in Muscle Shoals, AL

Active since March 27, 2019CLIA 01D2165657 · Waiver
1110 E 6TH ST SUITE E, MUSCLE SHOALS, AL 35661(256) 856-4059 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diabetes And Wellness Clinic Of The Shoals NPPES

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

DIABETES AND WELLNESS CLINIC OF THE SHOALS (NPI 1255892865) is a healthcare organization registered as a clinic/center in Muscle Shoals, Alabama and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Thaddeus Jason Boughton, Owner, as its authorized official.

NPPES Registry Identity

NPI1255892865
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIABETES AND WELLNESS CLINIC OF THE SHOALS
Location Address1110 E 6TH ST SUITE EMuscle Shoals, AL 35661
Mailing Address114 Chappell RdMuscle Shoals, AL 35661-3650
Organization SubpartNo
Authorized OfficialThaddeus Jason BoughtonOwner · (256) 856-4059
Enumeration DateMarch 27, 2019
NPI 1255892865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1110 E 6TH ST SUITE E, Muscle Shoals, AL 35661

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 01D2165657

Diabetes And Wellness Clinic Of The Shoals · Muscle Shoals, AL
Active · expires May 1, 2027
CLIA Number01D2165657
Laboratory TypeDiabetes Clinic
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorThaddeus J. Boughton
Laboratory Phone(256) 472-0419
Laboratory LocationDiabetes And Wellness Clinic Of The Shoals1110 East 6th Street, Suite E, Muscle Shoals, AL 35661
CLIA data matches this NPI record on: Address Name
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 Diabetes And Wellness Clinic Of The Shoals's NPI number?

The NPI number for Diabetes And Wellness Clinic Of The Shoals is 1255892865. It was assigned to this organization in the NPPES registry on March 27, 2019.

Where is Diabetes And Wellness Clinic Of The Shoals located?

Diabetes And Wellness Clinic Of The Shoals is located at 1110 E 6th St Suite E, Muscle Shoals, AL 35661. The listed phone number is (256) 856-4059.

What is Diabetes And Wellness Clinic Of The Shoals's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Diabetes And Wellness Clinic Of The Shoals hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2165657) is associated with this NPI, valid through May 1, 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 Diabetes And Wellness Clinic Of The Shoals was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.