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WEDOWEE RURAL HEALTH
NPI 1396002515
Clinic/Center - Rural Health in Wedowee, AL

Active since April 12, 2012CLIA 01D2040660 · Waiver
1030 MAIN ST S, WEDOWEE, AL 36278(256) 357-2188(256) 357-2023 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wedowee Rural Health NPPES

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

WEDOWEE RURAL HEALTH (NPI 1396002515) is a healthcare organization registered as a rural health in Wedowee, Alabama and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Clint Hoffman, Sr Vp, as its authorized official.

NPPES Registry Identity

NPI1396002515
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTANNER PRIMARY CARE OF WEDOWEE INC
Location Address1030 MAIN ST SWedowee, AL 36278-7440
Mailing Address100 Greenway Blvd Fl 2Carrollton, GA 30117-4338 · (770) 838-8710 · Fax (770) 812-5735
Phone(256) 357-2188
Fax(256) 357-2023
Organization SubpartNo
Authorized OfficialClint HoffmanSr Vp · (770) 812-8845
Enumeration DateApril 12, 2012
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1396002515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1030 MAIN ST S, Wedowee, AL 36278
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Other Names 1

Doing Business AsWedowee Rural Health

Other Identifiers 3

Medicaid139022AL
Other01-8904AL · Rhc Certification Number
Medicaid155218AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 01D2040660

Tanner Primary Care Of Wedowee Inc · Wedowee, AL
Active · expires May 6, 2028
CLIA Number01D2040660
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorDr. Justin D. Lovvorn
Laboratory Phone(256) 357-2188
Laboratory LocationTanner Primary Care Of Wedowee Inc1030 South Main Street, Wedowee, AL 36278
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANDA COTNEY CRNP
Nurse Practitioner
1030 MAIN ST S
WEDOWEE, AL 36278
Randolph County (256) 357-2188
MRS. ANGELA COX LOVELESS NP-C
Nurse Practitioner (Family)
1030 MAIN ST S
WEDOWEE, AL 36278
Randolph County (256) 357-2188

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 Tanner Primary Care Of Wedowee Inc's NPI number?

The NPI number for Tanner Primary Care Of Wedowee Inc is 1396002515. It was assigned to this organization in the NPPES registry on April 12, 2012. The provider is doing business as Wedowee Rural Health.

Where is Tanner Primary Care Of Wedowee Inc located?

Tanner Primary Care Of Wedowee Inc is located at 1030 Main St S, Wedowee, AL 36278. The listed phone number is (256) 357-2188.

What is Tanner Primary Care Of Wedowee Inc's specialty?

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

Does Tanner Primary Care Of Wedowee Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2040660) is associated with this NPI, valid through May 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tanner Primary Care Of Wedowee Inc was last updated on February 29, 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.