SMITH LAKE FAMILY CARE LLC
NPI 1306447776
Nurse Practitioner - Family in Jasper, AL
About Smith Lake Family Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SMITH LAKE FAMILY CARE LLC (NPI 1306447776) is a healthcare organization registered as a family in Jasper, Alabama and active in the NPI registry since November 2020. The organization holds a CLIA Certificate of Compliance certificate valid through September 19, 2027 and lists Michelle Hawthorne, Credentialing And Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Smith Lake Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Smith Lake Family Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
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 Compliance 01D2206672
Smith Lake Family Care · Jasper, 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 Smith Lake Family Care LLC's NPI number?
The NPI number for Smith Lake Family Care LLC is 1306447776. It was assigned to this organization in the NPPES registry on November 3, 2020.
Where is Smith Lake Family Care LLC located?
Smith Lake Family Care LLC is located at 6610 Curry Hwy, Jasper, AL 35503. The listed phone number is (205) 878-4800.
What is Smith Lake Family Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Smith Lake Family Care LLC enrolled in Medicare?
Yes. Smith Lake Family Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Smith Lake Family Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Smith Lake Family Care LLC. 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 (12) and Family Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Smith Lake Family Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 01D2206672) is associated with this NPI, valid through September 19, 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 Smith Lake Family Care LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Smith Lake Family Care Llc · NPI 1306447776
Family organization in Jasper, Alabama. Organization record, active in the CMS NPPES registry since November 3, 2020.
## Identity
- **NPI:** 1306447776 (Entity type: Organization)
- **Enumerated:** November 3, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Michelle Hawthorne, CREDENTIALING AND BILLING MANAGER
## Practice location
- **Address:** 6610 CURRY HWY, Jasper, AL 35503-5664
- **Phone:** (205) 878-4800 · **Fax:** (205) 471-7009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306447776) · Data from the CMS NPPES public registry.