PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.
NPI 1306837976
Internal Medicine in Montgomery, AL

Active since November 02, 2005CLIA 01D0671060 · Accreditation
1722 PINE ST, SUITE 309, MONTGOMERY, AL 36106(334) 262-0342(334) 262-0390 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Primary Care Internists Of Montgomery, P.c. NPPES

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

PRIMARY CARE INTERNISTS OF MONTGOMERY, P.C. (NPI 1306837976) is a healthcare organization registered as an internal medicine in Montgomery, Alabama and active in the NPI registry since November 2005. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Charla Sewell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306837976
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMARY CARE INTERNISTS OF MONTGOMERY, P.C.
Location Address1722 PINE ST, SUITE 309Montgomery, AL 36106-1103
Mailing Address1722 Pine St, Suite 309Montgomery, AL 36106-1103 · (334) 262-0342 · Fax (334) 262-0390
Fax(334) 262-0390
Organization SubpartNo
Authorized OfficialCharla SewellAdministrator · (334) 262-0342
Enumeration DateNovember 2, 2005
Last NPPES UpdateJune 16, 2015
✔ NPI 1306837976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1722 PINE ST, Montgomery, AL 36106

Other Identifiers 1

Other01D0671060AL · Clia Certificate #

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)

Primary Care Internists Of Montgomery, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Primary Care Internists Of Montgomery, P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1043422629
1722 PINE ST STE 309
Montgomery, AL 36106
(334) 262-0342
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1124019781
1722 PINE ST SUITE 309
Montgomery, AL 36106
(334) 262-0342
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1568453124
1722 PINE ST SUITE 309
Montgomery, AL 36106
(334) 262-0342
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720079395
1722 PINE ST SUITE 309
Montgomery, AL 36106
(334) 262-0342
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1285625442
1722 PINE ST SUITE 309
Montgomery, AL 36106
(334) 262-0342
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1285193268
4163 LOMAC ST
Montgomery, AL 36106
(334) 819-4770
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1013408723
6940 WINTON BLOUNT BLVD
Montgomery, AL 36117
(334) 279-9211
✔ PECOS✔ Accepts Medicare6.5 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 Accreditation 01D0671060

Primary Care Internists Of Montgomery · Pike Road, AL
Active · expires Jun 23, 2028
CLIA Number01D0671060
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorDr. Raghu Mukkamala
Laboratory Phone(334) 262-0342
Laboratory LocationPrimary Care Internists Of Montgomery11123 Chantilly Pkwy Ct Unit L, Pike Road, AL 36064
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Primary Care Internists Of Montgomery, P.C.'s NPI number?

The NPI number for Primary Care Internists Of Montgomery, P.C. is 1306837976. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Primary Care Internists Of Montgomery, P.C. located?

Primary Care Internists Of Montgomery, P.C. is located at 1722 Pine St Suite 309, Montgomery, AL 36106. The listed phone number is (334) 262-0342.

What is Primary Care Internists Of Montgomery, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Primary Care Internists Of Montgomery, P.C. enrolled in Medicare?

Yes. Primary Care Internists Of Montgomery, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Primary Care Internists Of Montgomery, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Primary Care Internists Of Montgomery, 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 Internal Medicine (6) and Nurse Practitioner (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Primary Care Internists Of Montgomery, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0671060) is associated with this NPI, valid through June 23, 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 Primary Care Internists Of Montgomery, P.C. was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.