CLINIC W LLC
NPI 1578087755
Internal Medicine in Clanton, AL
About Clinic W Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINIC W LLC (NPI 1578087755) is a healthcare organization registered as an internal medicine in Clanton, Alabama and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists David S. Wilson, Sole Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinic W Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Clinic W LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 01D2141241
Clinic W, LLC · Clanton, ALFrequently 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 Clinic W LLC's NPI number?
The NPI number for Clinic W LLC is 1578087755. It was assigned to this organization in the NPPES registry on July 31, 2017.
Where is Clinic W LLC located?
Clinic W LLC is located at 102 Medical Center Dr, Clanton, AL 35045. The listed phone number is (205) 383-5336.
What is Clinic W LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Clinic W LLC enrolled in Medicare?
Yes. Clinic W LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinic W LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Clinic W LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clinic W LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2141241) is associated with this NPI, valid through December 10, 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 Clinic W LLC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Clinic W Llc · NPI 1578087755
Internal Medicine organization in Clanton, Alabama. Organization record, active in the CMS NPPES registry since July 31, 2017.
## Identity
- **NPI:** 1578087755 (Entity type: Organization)
- **Enumerated:** July 31, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** David Wilson, SOLE MEMBER
## Practice location
- **Address:** 102 MEDICAL CENTER DR, Clanton, AL 35045-2332
- **Phone:** (205) 383-5336
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1578087755) · Data from the CMS NPPES public registry.