SUMMERDALE MEDICAL CLINIC
NPI 1285374470
Clinic/Center - Primary Care in Summerdale, AL
About Summerdale Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMERDALE MEDICAL CLINIC (NPI 1285374470) is a healthcare organization registered as a primary care in Summerdale, Alabama and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Amanda Maddox, Business Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Summerdale Medical Clinic 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 Summerdale Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice 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 01D2259334
Gulf Family Medical LLC · Summerdale, 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 Gulf Family Medical LLC's NPI number?
The NPI number for Gulf Family Medical LLC is 1285374470. It was assigned to this organization in the NPPES registry on March 29, 2022. The provider is doing business as Summerdale Medical Clinic.
Where is Gulf Family Medical LLC located?
Gulf Family Medical LLC is located at 511 State Highway 59 N, Summerdale, AL 36580. The listed phone number is (256) 550-1415.
What is Gulf Family Medical LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Gulf Family Medical LLC enrolled in Medicare?
Yes. Gulf Family Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gulf Family Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Gulf Family Medical 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gulf Family Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2259334) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gulf Family Medical LLC was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Summerdale Medical Clinic · NPI 1285374470
Primary Care organization in Summerdale, Alabama. Organization record, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1285374470 (Entity type: Organization)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Gulf Family Medical Llc
- **Organization subpart:** No
- **Authorized official:** Amanda Maddox, BUSINESS OWNER
## Practice location
- **Address:** 511 STATE HIGHWAY 59 N, Summerdale, AL 36580-3686
- **Phone:** (256) 550-1415
## 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: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285374470) · Data from the CMS NPPES public registry.