WEST ALABAMA FAMILY PRACTICE & SPORTS MEDICINE PC
NPI 1376615476
Family Medicine in Tuscaloosa, AL

Active since November 14, 2006
100 RICE MINE ROAD LOOP, SUITE 206, TUSCALOOSA, AL 35406(205) 339-0171(205) 333-8681 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2021, Jan 12, 2017 (2 updates tracked since 2017).

About West Alabama Family Practice & Sports Medicine Pc NPPES

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

WEST ALABAMA FAMILY PRACTICE & SPORTS MEDICINE PC (NPI 1376615476) is a healthcare organization registered as a family medicine in Tuscaloosa, Alabama and active in the NPI registry since November 2006. The organization lists Craig M Buettner, Co-owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1376615476
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWEST ALABAMA FAMILY PRACTICE & SPORTS MEDICINE PC
Location Address100 RICE MINE ROAD LOOP, SUITE 206Tuscaloosa, AL 35406-2425
Mailing Address100 Rice Mine Road Loop, Suite 206Tuscaloosa, AL 35406-2425 · (205) 339-0171 · Fax (205) 333-8681
Fax(205) 333-8681
Organization SubpartNo
Authorized OfficialCraig M BuettnerCo-owner, Physician · (205) 339-0171
Enumeration DateNovember 14, 2006
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1376615476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 RICE MINE ROAD LOOP, Tuscaloosa, AL 35406

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)

West Alabama Family Practice & Sports Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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 IDO20100930028094DME · Physician - Family PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to West Alabama Family Practice & Sports Medicine PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1962711325
100 RICE MINE ROAD LOOP STE 206
Tuscaloosa, AL 35406
(205) 339-0171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1255729513
100 RICE MINE ROAD LOOP STE 206
Tuscaloosa, AL 35406
(205) 339-0171
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1134291263
100 RICE MINE ROAD LOOP SUITE 206
Tuscaloosa, AL 35406
(205) 339-0171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922176536
100 RICE MINE ROAD LOOP SUITE 206
Tuscaloosa, AL 35406
(205) 339-0171
✔ PECOSSame address
Family Practice
NPI 1184796211
100 RICE MINE ROAD LOOP SUITE 206
Tuscaloosa, AL 35406
(205) 339-0171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1336207372
100 RICE MINE ROAD LOOP SUITE 206
Tuscaloosa, AL 35406
(205) 339-0171
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1548421803
2201 JACK WARNER PKWY
Tuscaloosa, AL 35401
(205) 523-5618
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1609401728
3909 MCFARLAND BLVD
Northport, AL 35476
(205) 333-1993
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1144305053
195 HOSPITAL DR
Centreville, AL 35042
(205) 926-2993
✔ PECOS29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 West Alabama Family Practice & Sports Medicine PC's NPI number?

The NPI number for West Alabama Family Practice & Sports Medicine PC is 1376615476. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is West Alabama Family Practice & Sports Medicine PC located?

West Alabama Family Practice & Sports Medicine PC is located at 100 Rice Mine Road Loop Suite 206, Tuscaloosa, AL 35406. The listed phone number is (205) 339-0171.

What is West Alabama Family Practice & Sports Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is West Alabama Family Practice & Sports Medicine PC enrolled in Medicare?

Yes. West Alabama Family Practice & Sports Medicine PC is registered in the Medicare PECOS enrollment system.

When is West Alabama Family Practice & Sports Medicine PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Alabama, Physician - Family Practice) is due for revalidation by January 31, 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 West Alabama Family Practice & Sports Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to West Alabama Family Practice & Sports Medicine PC. 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 (6), Family Practice (2) and Neurology (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for West Alabama Family Practice & Sports Medicine PC was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.