NORTHEAST ALABAMA HEALTH SERVICES INC - NORTH SAND MOUNTAIN
NPI 1356498505
Clinic/Center - Federally Qualified Health Center (FQHC) in Bryant, AL
About Northeast Alabama Health Services Inc - North Sand Mountain NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHEAST ALABAMA HEALTH SERVICES INC - NORTH SAND MOUNTAIN (NPI 1356498505) is a healthcare organization registered as a federally qualified health center (fqhc) in Bryant, Alabama and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists James P Allen, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northeast Alabama Health Services Inc - North Sand Mountain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Northeast Alabama Health Services Inc - North Sand Mountain, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (16)
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 01D1009098
Northeast Al Health Serv- North Sand Mountain · Bryant, 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 Northeast Alabama Health Services, Inc.'s NPI number?
The NPI number for Northeast Alabama Health Services, Inc. is 1356498505. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Northeast Alabama Health Services Inc - North Sand Mountain.
Where is Northeast Alabama Health Services, Inc. located?
Northeast Alabama Health Services, Inc. is located at 29810 Al Highway 71, Bryant, AL 35958. The listed phone number is (256) 597-4114.
What is Northeast Alabama Health Services, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Northeast Alabama Health Services, Inc. enrolled in Medicare?
Yes. Northeast Alabama Health Services, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Alabama Health Services, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Northeast Alabama Health Services, Inc.. 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), Family Practice (3) and Clinical Social Worker (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northeast Alabama Health Services, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D1009098) is associated with this NPI, valid through February 5, 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 Northeast Alabama Health Services, Inc. was last updated on May 28, 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.
# Northeast Alabama Health Services Inc - North Sand Mountain · NPI 1356498505
Federally Qualified Health Center (FQHC) organization in Bryant, Alabama. Organization record, active in the CMS NPPES registry since January 3, 2007.
## Identity
- **NPI:** 1356498505 (Entity type: Organization)
- **Enumerated:** January 3, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northeast Alabama Health Services, Inc.
- **Organization subpart:** Yes (part of Northeast Alabama Health Services, Inc.)
- **Authorized official:** James Allen, CEO
## Practice location
- **Address:** 29810 AL HIGHWAY 71, Bryant, AL 35958-5240
- **Phone:** (256) 597-4114 · **Fax:** (256) 597-4115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Family Practice (3), Clinical Social Worker (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2024
- **Other identifiers:** Medicaid 630009003 (AL); Other 012401 (AL); Other J344 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356498505) · Data from the CMS NPPES public registry.