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UNIVERSITY OF MONTEVALLO
NPI 1568864494
Orthopaedic Surgery - Sports Medicine in Montevallo, AL

Active since September 23, 2014CLIA 01D0906698 · Waiver
75 COLLEGE DR, STATION 6060, MONTEVALLO, AL 35115(205) 665-6602(205) 665-6614 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About University Of Montevallo NPPES

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

UNIVERSITY OF MONTEVALLO (NPI 1568864494), doing business as Montevallo Sports Medicine, is a healthcare organization registered as a sports medicine in Montevallo, Alabama and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Mauren Gregory, Head Athletic Trainer, as its authorized official.

NPPES Registry Identity

NPI1568864494
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameUNIVERSITY OF MONTEVALLO
Location Address75 COLLEGE DR, STATION 6060Montevallo, AL 35115-3732
Mailing Address75 College Dr, Station 6602Montevallo, AL 35115-3732 · (205) 665-6602 · Fax (205) 665-6614
Phone(205) 665-6602
Fax(205) 665-6614
Organization SubpartNo
Authorized OfficialMauren GregoryHead Athletic Trainer · (205) 665-6602
Enumeration DateSeptember 23, 2014
Last NPPES UpdateMarch 5, 2025
✔ NPI 1568864494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X
75 COLLEGE DR, Montevallo, AL 35115
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Other Names 1

Doing Business AsMontevallo Sports Medicine

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 MULTIPLE 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 01D0906698

University Of Montevallo Health Services · Montevallo, AL
Active · expires Oct 3, 2027
CLIA Number01D0906698
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorMs. Erica Morrison
Laboratory Phone(205) 665-6275
Laboratory LocationUniversity Of Montevallo Health ServicesHealth Services Station #6275, Montevallo, AL 35115
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MAUREEN KRAUSS GREGORY LAT ATC
Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR
MONTEVALLO, AL 35115
Shelby County (484) 903-6357
DR. LOLITA KINCADE
Counselor
75 COLLEGE DR, STATION 6385, BLOCH 105
MONTEVALLO, AL 35115
Shelby County (205) 665-6382
ERICA TYLER MORRISON PA-C
Physician Assistant
75 COLLEGE DR
MONTEVALLO, AL 35115
Shelby County (205) 665-6275
MARCELO GALAFASSI ATC, LAT
Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR, STATION 6600
MONTEVALLO, AL 35115
Shelby County (205) 665-6602
CAITLYNN MARIANNE WYNIA ATC, LAT
Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR
MONTEVALLO, AL 35115
Shelby County (205) 665-6000
MR. BENJAMIN J GEARHART ATC, LAT, MED.
Specialist/Technologist (Athletic Trainer)
75 COLLEGE DR
MONTEVALLO, AL 35115
Shelby County (812) 603-4434

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 University Of Montevallo's NPI number?

The NPI number for University Of Montevallo is 1568864494. It was assigned to this organization in the NPPES registry on September 23, 2014. The provider is doing business as Montevallo Sports Medicine.

Where is University Of Montevallo located?

University Of Montevallo is located at 75 College Dr Station 6060, Montevallo, AL 35115. The listed phone number is (205) 665-6602.

What is University Of Montevallo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Does University Of Montevallo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0906698) is associated with this NPI, valid through October 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Of Montevallo was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.