NEPHROLOGY OF NORTH ALABAMA P.C.
NPI 1417981622
Internal Medicine - Nephrology in Decatur, AL

Active since July 11, 2006CLIA Certified · 2 labs
1216 SOMERVILLE ROAD SE, DECATUR, AL 35601(256) 340-0012(256) 340-1408 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 16, 2023, Jan 22, 2021 (2 updates tracked since 2021).

About Nephrology Of North Alabama P.c. NPPES

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

NEPHROLOGY OF NORTH ALABAMA P.C. (NPI 1417981622) is a healthcare organization registered as a nephrology in Decatur, Alabama and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Cullman, and lists Reginald Dwain Gladish, Owner, as its authorized official.

NPPES Registry Identity

NPI1417981622
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHROLOGY OF NORTH ALABAMA P.C.
Location Address1216 SOMERVILLE ROAD SEDecatur, AL 35601-3337
Mailing Address1216 Somerville Rd SeDecatur, AL 35601-4335 · (256) 340-0012 · Fax (256) 340-1408
Fax(256) 340-1408
Organization SubpartNo
Authorized OfficialReginald Dwain GladishOwner · (256) 340-0012
Enumeration DateJuly 11, 2006
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1417981622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1216 SOMERVILLE ROAD SE, Decatur, AL 35601

Secondary Practice Location 1

Location 11890 Al Highway 157 Ste 410Cullman, AL 35058-0689 · Phone (256) 255-0690 · Fax (256) 340-1408

Other Identifiers 1

OtherCK3006AL · Railroad Medicare

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

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)

Nephrology Of North Alabama P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Nephrology Of North Alabama P.C., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1194137653
1216 SOMERVILLE RD SE
Decatur, AL 35601
(256) 340-0012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548606742
1216 SOMERVILLE RD SE
Decatur, AL 35601
(256) 340-0012
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1831167287
1216 SOMERVILLE ROAD SE
Decatur, AL 35601
(256) 340-0012
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275166175
1216 SOMERVILLE RD SE
Decatur, AL 35601
(256) 340-0012
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174763254
1215 7TH ST SE STE 240
Decatur, AL 35601
(256) 973-5400
✔ PECOS✔ Accepts Medicare0.2 mi
Nephrology
NPI 1245714187
1005 W MARKET ST STE 16
Athens, AL 35611
(256) 232-0801
✔ PECOS✔ Accepts Medicare15 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 2

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 01D0928505

Nephrology Of North Alabama PC · Decatur, AL
Active · expires May 19, 2027
CLIA Number01D0928505
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorReginald D. Gladish MD
Laboratory Phone(256) 340-0012
Laboratory LocationNephrology Of North Alabama PC1216 Somerville Road SE, Decatur, AL 35601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D1043588

Nephrology Of North Alabama · Cullman, AL
Active · expires Jul 26, 2027
CLIA Number01D1043588
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorReginald D. Gladish
Laboratory Phone(256) 255-0690
Laboratory LocationNephrology Of North Alabama1890 Al Hwy 157, Pob II Suite 410, Cullman, AL 35058
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 Nephrology Of North Alabama P.C.'s NPI number?

The NPI number for Nephrology Of North Alabama P.C. is 1417981622. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Nephrology Of North Alabama P.C. located?

Nephrology Of North Alabama P.C. is located at 1216 Somerville Road SE, Decatur, AL 35601. The listed phone number is (256) 340-0012.

What is Nephrology Of North Alabama P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nephrology Of North Alabama P.C. enrolled in Medicare?

Yes. Nephrology Of North Alabama P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nephrology Of North Alabama P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Nephrology Of North Alabama 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 Nurse Practitioner (3), Nephrology (2) and Internal Medicine (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nephrology Of North Alabama P.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Nephrology Of North Alabama P.C. accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Nephrology Of North Alabama P.C. 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 Nephrology Of North Alabama P.C. was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.