PICKENS COUNTY PRIMARY CARE, PC
NPI 1295421667
Clinic/Center - Rural Health in Gordo, AL

Active since April 17, 2023
535 4TH ST NW, GORDO, AL 35466(205) 656-4872 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pickens County Primary Care, Pc NPPES

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

PICKENS COUNTY PRIMARY CARE, PC (NPI 1295421667) is a healthcare organization registered as a rural health in Gordo, Alabama and active in the NPI registry since April 2023. The organization lists Julia L Boothe, Owner, as its authorized official.

NPPES Registry Identity

NPI1295421667
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePICKENS COUNTY PRIMARY CARE, PC
Location Address535 4TH ST NWGordo, AL 35466-2558
Mailing AddressPo Box 1000Reform, AL 35481-1000 · (205) 656-4872
Organization SubpartYes
Authorized OfficialJulia L BootheOwner · (205) 792-6702
Enumeration DateApril 17, 2023
Last NPPES UpdateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1295421667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
535 4TH ST NW, Gordo, AL 35466

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Pickens County Primary Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Pickens County Primary Care, PC, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Family Practice2
Clinical Social Worker1

Clinicians, nearest first (12)

Family Practice
NPI 1255397824
108 4TH AVE SW
Reform, AL 35481
(205) 375-6251
✔ PECOS✔ Accepts Medicare7.2 mi
Family Practice
NPI 1083713556
108 4TH AVE SW STE A
Reform, AL 35481
(205) 375-6251
✔ PECOS✔ Accepts Medicare7.3 mi
Clinical Social Worker
NPI 1093341570
108 4TH AVE SW STE A
Reform, AL 35481
(205) 375-6251
✔ PECOS7.3 mi
Nurse Practitioner
NPI 1457774200
108 4TH AVE SW STE A
Reform, AL 35481
(205) 375-6251
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1609114198
108 4TH AVE SW STE A
Reform, AL 35481
(205) 375-6251
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1649957846
108 4TH AVE SW STE A
Reform, AL 35481
(205) 375-6251
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1700425386
108 4TH AVE NE
Reform, AL 35481
(205) 375-6251
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1346672243
184 WILLIAM E HILL DR
Carrollton, AL 35447
(205) 367-8197
✔ PECOS14 mi
Nurse Practitioner
NPI 1457870743
4108 WATERMELON RD
Northport, AL 35473
(205) 366-9898
✔ PECOS21 mi
Nurse Practitioner
NPI 1992152284
1850 MCFARLAND BLVD N
Tuscaloosa, AL 35406
(205) 556-5541
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1902259443
801 UNIVERSITY BLVD E
Tuscaloosa, AL 35401
(205) 759-7803
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1568838746
405 BELCHER ST
Centreville, AL 35042
(205) 926-2992
✔ PECOS51 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 Pickens County Primary Care, PC's NPI number?

The NPI number for Pickens County Primary Care, PC is 1295421667. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Pickens County Primary Care, PC located?

Pickens County Primary Care, PC is located at 535 4th St NW, Gordo, AL 35466. The listed phone number is (205) 656-4872.

What is Pickens County Primary Care, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Pickens County Primary Care, PC enrolled in Medicare?

Yes. Pickens County Primary Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pickens County Primary Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Pickens County Primary Care, PC. 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 Nurse Practitioner (9), Family Practice (2) and Clinical Social Worker (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pickens County Primary Care, PC was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.