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CLINICAL UROLOGY ASSOCIATES, P.C.
NPI 1285409557
Urology in Fort Payne, AL

Active since November 16, 2023CLIA 01D0684058 · Waiver
2110 GLENN BLVD SW, FORT PAYNE, AL 35968(256) 492-4040(256) 492-4017 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2024, Nov 17, 2023 (2 updates tracked since 2023).

About Clinical Urology Associates, P.c. NPPES

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

CLINICAL UROLOGY ASSOCIATES, P.C. (NPI 1285409557) is a healthcare organization registered as an urology in Fort Payne, Alabama and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Kourtney Mayo, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1285409557
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCILINICAL UROLOGY ASSOCIATES, P.C.
Location Address2110 GLENN BLVD SWFort Payne, AL 35968-3527
Mailing Address713 Goodyear AveGadsden, AL 35903-1156 · (256) 492-4040 · Fax (256) 492-4017
Phone(256) 492-4040
Fax(256) 492-4017
Organization SubpartYesParent: Clinical Urology Associates, P.c.
Authorized OfficialKourtney MayoCredentialing · (256) 492-4040
Enumeration DateNovember 16, 2023
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1285409557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2110 GLENN BLVD SW, Fort Payne, AL 35968
Open in Google Maps ↗

Other Names 2

Doing Business AsClinical Urology Associates, P.c.
Doing Business AsClinical Urology Associates, Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinical Urology Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Clinical Urology Associates, P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Urology8
Diagnostic Radiology4
Nurse Practitioner4

Clinicians, nearest first (16)

Bethany Nailor
Nurse Practitioner
NPI 1013678713
8914 US HIGHWAY 431
Albertville, AL 35950
(256) 279-7200
✔ PECOS✔ Accepts Medicare29 mi
Tamala Sparks, CRNP
Nurse Practitioner
NPI 1265626691
1020 TUSCALOOSA AVE
Gadsden, AL 35901
(256) 546-4606
✔ PECOS✔ Accepts Medicare32 mi
Callie Clement, NP
Nurse Practitioner
NPI 1790486512
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Dylan Dangerfield, M.D.
Urology
NPI 1245791128
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Marilyn Kelleher, M.D.
Urology
NPI 1932515582
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
John Pirani, MD
Urology
NPI 1942267026
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Manish Shah, MD
Urology
NPI 1558328625
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Merle Wade, MD
Urology
NPI 1033167465
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Spencer Wallace, CRNP
Nurse Practitioner
NPI 1831713387
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Zachary Burns
Urology
NPI 1073194478
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Michael Jennings, MD
Urology
NPI 1508271578
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare32 mi
Austin Bourgeois, M.D.
Diagnostic Radiology
NPI 1790002590
2006 FRANKLIN ST SE SUITE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare50 mi
David Kim, M.D.
Diagnostic Radiology
NPI 1154733517
2006 FRANKLIN ST SE STE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare50 mi
Ivan Morales, MD
Diagnostic Radiology
NPI 1689167264
2006 FRANKLIN ST SE STE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare50 mi
Robert Tomalty, M.D.
Diagnostic Radiology
NPI 1003873951
2006 FRANKLIN ST SE SUITE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare50 mi
Doyle Stephens, D.O.
Urology
NPI 1114147097
3948 TEAYS VALLEY RD UNIT 2101A
Hurricane, WV 25526
(304) 757-0050
✔ PECOS✔ Accepts Medicare349 mi

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 01D0684058

Clinical Urology Associates PC · Fort Payne, AL
Active · expires Oct 26, 2027
CLIA Number01D0684058
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDr. Manish Shah
Laboratory Phone(256) 543-0976
Laboratory LocationClinical Urology Associates PC2110 Glenn Blvd, Fort Payne, AL 35968
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 Cilinical Urology Associates, P.C.'s NPI number?

The NPI number for Cilinical Urology Associates, P.C. is 1285409557. It was assigned to this organization in the NPPES registry on November 16, 2023. The provider is doing business as Clinical Urology Associates, P.C. and Clinical Urology associates, PC.

Where is Cilinical Urology Associates, P.C. located?

Cilinical Urology Associates, P.C. is located at 2110 Glenn Blvd SW, Fort Payne, AL 35968. The listed phone number is (256) 492-4040.

What is Cilinical Urology Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Cilinical Urology Associates, P.C. enrolled in Medicare?

Yes. Cilinical Urology Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cilinical Urology Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Cilinical Urology Associates, 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 Urology (8), Diagnostic Radiology (4) and Nurse Practitioner (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cilinical Urology Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0684058) is associated with this NPI, valid through October 26, 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 Cilinical Urology Associates, P.C. was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.