MOUNDVILLE MEDICAL ASSOCIATES
NPI 1376901686
Clinic/Center - Rural Health in Moundville, AL

Active since February 01, 2016CLIA 01D2110780 · Waiver
40870 AL HIGHWAY 69, MOUNDVILLE, AL 35474(205) 371-4444 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Moundville Medical Associates NPPES

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

MOUNDVILLE MEDICAL ASSOCIATES (NPI 1376901686) is a healthcare organization registered as a rural health in Moundville, Alabama and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 22, 2028 and lists Shay F Whaley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376901686
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHALE COUNTY HOSPITAL
Location Address40870 AL HIGHWAY 69Moundville, AL 35474-4366
Mailing Address40870 Al Highway 69Moundville, AL 35474-4366 · (205) 371-4444
Organization SubpartNo
Authorized OfficialShay F WhaleyCeo · (334) 624-3024
Enumeration DateFebruary 1, 2016
✔ NPI 1376901686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
40870 AL HIGHWAY 69, Moundville, AL 35474

Other Names 1

Doing Business AsMoundville Medical Associates

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moundville Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Moundville Medical Associates, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1679939334
3700 TREVOR S PHILLIPS AVE
Tuscaloosa, AL 35401
(205) 750-4330
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1902857154
1000 FAIRFAX PARK
Tuscaloosa, AL 35406
(205) 366-9181
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1386192557
508 GREENE ST
Greensboro, AL 36744
(334) 624-4442
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1942394986
105 US HIGHWAY 80 E EMERGENCY DEPARTMENT
Demopolis, AL 36732
(334) 289-4000
✔ PECOS✔ Accepts Medicare37 mi
Nurse Practitioner
NPI 1497993950
951 US HIGHWAY 80 W
Demopolis, AL 36732
(334) 289-9982
✔ PECOS✔ Accepts Medicare37 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 Waiver 01D2110780

Moundville Medical Associates · Moundville, AL
Active · expires Mar 22, 2028
CLIA Number01D2110780
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorMs. Rachel Rackard
Laboratory Phone(334) 624-3024
Laboratory LocationMoundville Medical Associates40870 Al Hwy 69 Ste A, Moundville, AL 35474
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hale County Hospital's NPI number?

The NPI number for Hale County Hospital is 1376901686. It was assigned to this organization in the NPPES registry on February 1, 2016. The provider is doing business as Moundville Medical Associates.

Where is Hale County Hospital located?

Hale County Hospital is located at 40870 Al Highway 69, Moundville, AL 35474. The listed phone number is (205) 371-4444.

What is Hale County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Hale County Hospital enrolled in Medicare?

Yes. Hale County Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hale County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Hale County Hospital. 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 (3), Emergency Medicine (1) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hale County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2110780) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hale County Hospital accept?

Health plans from UnitedHealthcare list Hale County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hale County Hospital was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.