EVERGREEN PRIMARY CARE
NPI 1356695886
Emergency Medicine in Evergreen, AL
About Evergreen Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN PRIMARY CARE (NPI 1356695886) is a healthcare organization registered as an emergency medicine in Evergreen, Alabama and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through October 2, 2027 and lists James Powell, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Evergreen Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Evergreen Primary Care, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 01D2173011
Evergreen Primary Care · Evergreen, 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 Evergreen Medical Center LLC's NPI number?
The NPI number for Evergreen Medical Center LLC is 1356695886. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Evergreen Primary Care.
Where is Evergreen Medical Center LLC located?
Evergreen Medical Center LLC is located at 100 Edwina Street, Evergreen, AL 36401. The listed phone number is (251) 578-0278.
What is Evergreen Medical Center LLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Evergreen Medical Center LLC enrolled in Medicare?
Yes. Evergreen Medical Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evergreen Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Evergreen Medical Center LLC, in Emergency Medicine and Family Practice. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Evergreen Medical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2173011) is associated with this NPI, valid through October 2, 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 Evergreen Medical Center LLC was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Evergreen Primary Care · NPI 1356695886
Emergency Medicine organization in Evergreen, Alabama. Organization record, active in the CMS NPPES registry since November 6, 2012.
## Identity
- **NPI:** 1356695886 (Entity type: Organization)
- **Enumerated:** November 6, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Legal business name:** Evergreen Medical Center Llc
- **Organization subpart:** No
- **Authorized official:** James Powell, OFFICE MANAGER
## Practice location
- **Address:** 100 EDWINA STREET, Evergreen, AL 36401-3319
- **Phone:** (251) 578-0278 · **Fax:** (251) 578-0290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Emergency Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356695886) · Data from the CMS NPPES public registry.