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: October 18, 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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wedowee Rural Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Wedowee Rural Health, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Family Practice5
Nurse Practitioner4
Cardiovascular Disease (Cardiology)1
General Practice1
Internal Medicine1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1043233539
1030 MAIN S ST
Wedowee, AL 36278
(256) 357-2188
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558959122
1030 MAIN ST S
Wedowee, AL 36278
(256) 357-2188
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841971421
1030 MAIN ST S STE A
Wedowee, AL 36278
(256) 357-2188
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831683747
76 COUNTY ROAD 64 STE 3
Woodland, AL 36280
(256) 449-2001
✔ PECOS✔ Accepts Medicare6.8 mi
Family Practice
NPI 1548283195
76 COUNTY ROAD 64 SUITE 3
Woodland, AL 36280
(256) 449-2001
✔ PECOS6.8 mi
Family Practice
NPI 1194748731
1950 MAIN ST.
Roanoke, AL 36274
(334) 863-2311
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1730100553
965 HIGHWAY 431
Roanoke, AL 36274
(334) 863-2141
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1437588019
965 HIGHWAY 431
Roanoke, AL 36274
(334) 863-2141
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1871703868
1125 E HIGHWAY 166
Bowdon, GA 30108
(770) 258-5424
✔ PECOS✔ Accepts Medicare22 mi
General Practice
NPI 1710041983
2906 FRANKLIN PKWY
Franklin, GA 30217
(706) 675-6949
✔ PECOS✔ Accepts Medicare22 mi
Cardiovascular Disease (Cardiology)
NPI 1417901604
705 DIXIE ST SUITE 401
Carrollton, GA 30117
(770) 836-9326
✔ PECOS✔ Accepts Medicare30 mi
Internal Medicine
NPI 1861620353
6025 PROFESSIONAL PKWY STE 200
Douglasville, GA 30134
(770) 949-0555
✔ PECOS✔ Accepts Medicare53 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 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.

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.

Is Tanner Primary Care Of Wedowee Inc enrolled in Medicare?

Yes. Tanner Primary Care Of Wedowee Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tanner Primary Care Of Wedowee Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Tanner Primary Care Of Wedowee 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 Family Practice (5), Nurse Practitioner (4) and Cardiovascular Disease (Cardiology) (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.