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GARDENDALE PAIN AND WELLNESS, LLC
NPI 1316459746
Anesthesiology - Pain Medicine in Gardendale, AL

Active since October 25, 2017CLIA 01D2142868 · Accreditation
2215 DECATUR HWY STE 101, GARDENDALE, AL 35071(205) 608-8199(205) 608-8195 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Sep 15, 2020, Jul 30, 2020 and 1 more (4 updates tracked since 2017).

About Gardendale Pain And Wellness, Llc NPPES

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

GARDENDALE PAIN AND WELLNESS, LLC (NPI 1316459746) is a healthcare organization registered as a pain medicine in Gardendale, Alabama and active in the NPI registry since October 2017. The organization holds an CLIA Accreditation certificate valid through December 3, 2026 and lists Ricky B Tubbs, Owner, as its authorized official.

NPPES Registry Identity

NPI1316459746
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGARDENDALE PAIN AND WELLNESS, LLC
Location Address2215 DECATUR HWY STE 101Gardendale, AL 35071-2384
Mailing Address2215 Decatur Hwy Ste 101Gardendale, AL 35071-2384 · (205) 608-8199 · Fax (205) 608-8195
Phone(205) 608-8199
Fax(205) 608-8195
Organization SubpartNo
Authorized OfficialRicky B TubbsOwner · (256) 649-0416
Enumeration DateOctober 25, 2017
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1316459746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
2215 DECATUR HWY STE 101, Gardendale, AL 35071
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gardendale Pain And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20180608000324DME · Physician - General PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Gardendale Pain And Wellness, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner7
Anesthesiology1
Family Practice1
General Surgery1

Clinicians, nearest first (10)

Blake Hand, CRNP
Nurse Practitioner
NPI 1215496708
2215 DECATUR HWY STE 101
Gardendale, AL 35071
(205) 608-8199
✔ PECOS✔ Accepts MedicareSame address
Kristi Lunceford, CRNP
Nurse Practitioner
NPI 1295211795
2215 DECATUR HWY STE 101
Gardendale, AL 35071
(205) 608-8199
✔ PECOS✔ Accepts MedicareSame address
Ricky Tubbs, DO
Anesthesiology
NPI 1184800971
2215 DECATUR HWY STE 101
Gardendale, AL 35071
(205) 608-8199
✔ PECOS✔ Accepts MedicareSame address
Lori Johnston Lowe
Nurse Practitioner
NPI 1033658588
2215 DECATUR HWY STE 101
Gardendale, AL 35071
(205) 608-8199
✔ PECOS✔ Accepts MedicareSame address
Hali Mcdonald, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1104310721
2215 DECATUR HWY STE 101
Gardendale, AL 35071
(205) 608-8199
✔ PECOS✔ Accepts MedicareSame address
Jennifer Holcombe, CRNP
Nurse Practitioner
NPI 1265918163
21 MALLARD DR
Cropwell, AL 35054
(205) 338-4323
✔ PECOS✔ Accepts Medicare32 mi
Caitlin Jones, RN
Nurse Practitioner
NPI 1780145672
1701 MAIN AVE SW STE E
Cullman, AL 35055
(256) 737-4100
✔ PECOS✔ Accepts Medicare33 mi
David Mulkey, MD
Family Practice
NPI 1396206314
1848 PARKLAND DR NE
Cullman, AL 35058
(256) 737-4101
✔ PECOS✔ Accepts Medicare36 mi
Kristie Quattlebaum, CRNP
Nurse Practitioner
NPI 1609231885
1848 PARKLAND DR NE
Cullman, AL 35058
(256) 737-4101
✔ PECOS✔ Accepts Medicare36 mi
John Valente, M.D.
General Surgery
NPI 1134192412
901 LEIGHTON AVE STE 307
Anniston, AL 36207
(256) 235-5064
✔ PECOS✔ Accepts Medicare57 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 01D2142868

Gardendale Pain And Wellness · Gardendale, AL
Active · expires Dec 3, 2026
CLIA Number01D2142868
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorDr. David C. Mulkey
Laboratory Phone(205) 608-6199
Laboratory LocationGardendale Pain And Wellness2215 Decatur Hwy, Suite 101, Gardendale, AL 35071
CLIA data matches this NPI record on: Address Name
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 Gardendale Pain And Wellness, LLC's NPI number?

The NPI number for Gardendale Pain And Wellness, LLC is 1316459746. It was assigned to this organization in the NPPES registry on October 25, 2017.

Where is Gardendale Pain And Wellness, LLC located?

Gardendale Pain And Wellness, LLC is located at 2215 Decatur Hwy Ste 101, Gardendale, AL 35071. The listed phone number is (205) 608-8199.

What is Gardendale Pain And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Gardendale Pain And Wellness, LLC enrolled in Medicare?

Yes. Gardendale Pain And Wellness, LLC is registered in the Medicare PECOS enrollment system.

When is Gardendale Pain And Wellness, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Alabama, Physician - General Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Gardendale Pain And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Gardendale Pain And Wellness, 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 (7), Anesthesiology (1) and Family Practice (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gardendale Pain And Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D2142868) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gardendale Pain And Wellness, LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.