DIABETES AND WELLNESS CLINIC OF THE SHOALS
NPI 1255892865
Clinic/Center in Muscle Shoals, AL
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
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)
Diabetes And Wellness Clinic Of The Shoals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Diabetes And Wellness Clinic Of The Shoals, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 01D2165657
Diabetes And Wellness Clinic Of The Shoals · Muscle Shoals, 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 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.
Is Diabetes And Wellness Clinic Of The Shoals enrolled in Medicare?
Yes. Diabetes And Wellness Clinic Of The Shoals is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Diabetes And Wellness Clinic Of The Shoals?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Diabetes And Wellness Clinic Of The Shoals, in Emergency Medicine 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Diabetes And Wellness Clinic Of The Shoals · NPI 1255892865
Clinic/Center organization in Muscle Shoals, Alabama. Organization record, active in the CMS NPPES registry since March 27, 2019.
## Identity
- **NPI:** 1255892865 (Entity type: Organization)
- **Enumerated:** March 27, 2019
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Thaddeus Boughton, OWNER
## Practice location
- **Address:** 1110 E 6TH ST SUITE E, Muscle Shoals, AL 35661
- **Phone:** (256) 856-4059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 27, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255892865) · Data from the CMS NPPES public registry.