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CLINICAL UROLOGY ASSOCIATES, P.C.
NPI 1396593323
Urology in Jacksonville, AL

Active since May 06, 2024
1475 1ST AVE SW, JACKSONVILLE, AL 36265(256) 492-4040(256) 492-4017 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, May 6, 2024 (2 updates tracked since 2024).

About Clinical Urology Associates, P.c. NPPES

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

CLINICAL UROLOGY ASSOCIATES, P.C. (NPI 1396593323) is a healthcare organization registered as an urology in Jacksonville, Alabama and active in the NPI registry since May 2024. The organization lists Kourtney Mayo, Practice Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1396593323
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCLINICAL UROLOGY ASSOCIATES, P.C.
Location Address1475 1ST AVE SWJacksonville, AL 36265-3337
Mailing Address713 Goodyear AveGadsden, AL 35903-1156 · (256) 492-4040 · Fax (256) 492-4017
Phone(256) 492-4040
Fax(256) 492-4017
Organization SubpartYes
Authorized OfficialKourtney MayoPractice Credentialing Manager · (256) 492-4040
Enumeration DateMay 6, 2024
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1396593323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1475 1ST AVE SW, Jacksonville, AL 36265
Open in Google Maps ↗

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)

Clinical Urology Associates, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Clinical Urology Associates, P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Urology8
Diagnostic Radiology4
Nurse Practitioner4

Clinicians, nearest first (16)

Zachary Burns
Urology
NPI 1073194478
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Michael Jennings, MD
Urology
NPI 1508271578
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Callie Clement, NP
Nurse Practitioner
NPI 1790486512
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Dylan Dangerfield, M.D.
Urology
NPI 1245791128
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Marilyn Kelleher, M.D.
Urology
NPI 1932515582
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
John Pirani, MD
Urology
NPI 1942267026
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Manish Shah, MD
Urology
NPI 1558328625
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Merle Wade, MD
Urology
NPI 1033167465
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Spencer Wallace, CRNP
Nurse Practitioner
NPI 1831713387
713 GOODYEAR AVE
Gadsden, AL 35903
(256) 492-4040
✔ PECOS✔ Accepts Medicare19 mi
Tamala Sparks, CRNP
Nurse Practitioner
NPI 1265626691
1020 TUSCALOOSA AVE
Gadsden, AL 35901
(256) 546-4606
✔ PECOS✔ Accepts Medicare22 mi
Bethany Nailor
Nurse Practitioner
NPI 1013678713
8914 US HIGHWAY 431
Albertville, AL 35950
(256) 279-7200
✔ PECOS✔ Accepts Medicare44 mi
Austin Bourgeois, M.D.
Diagnostic Radiology
NPI 1790002590
2006 FRANKLIN ST SE SUITE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare79 mi
David Kim, M.D.
Diagnostic Radiology
NPI 1154733517
2006 FRANKLIN ST SE STE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare79 mi
Ivan Morales, MD
Diagnostic Radiology
NPI 1689167264
2006 FRANKLIN ST SE STE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare79 mi
Robert Tomalty, M.D.
Diagnostic Radiology
NPI 1003873951
2006 FRANKLIN ST SE SUITE 200
Huntsville, AL 35801
(256) 539-0457
✔ PECOS✔ Accepts Medicare79 mi
Doyle Stephens, D.O.
Urology
NPI 1114147097
3948 TEAYS VALLEY RD UNIT 2101A
Hurricane, WV 25526
(304) 757-0050
✔ PECOS✔ Accepts Medicare386 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 Clinical Urology Associates, P.C.'s NPI number?

The NPI number for Clinical Urology Associates, P.C. is 1396593323. It was assigned to this organization in the NPPES registry on May 6, 2024.

Where is Clinical Urology Associates, P.C. located?

Clinical Urology Associates, P.C. is located at 1475 1st Ave SW, Jacksonville, AL 36265. The listed phone number is (256) 492-4040.

What is Clinical Urology Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Clinical Urology Associates, P.C. enrolled in Medicare?

Yes. Clinical Urology Associates, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinical Urology Associates, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to Clinical Urology Associates, P.C.. 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 Urology (8), Diagnostic Radiology (4) and Nurse Practitioner (4). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinical Urology Associates, P.C. was last updated on July 16, 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.