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HEALTHSOURCE OF HUNTSVILLE, LLC
NPI 1609209253
Preferred Provider Organization in Huntsville, AL

Active since August 19, 2013
930 BOB WALLACE AVE SW STE 225, HUNTSVILLE, AL 35801(256) 964-6678(256) 964-6660 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healthsource Of Huntsville, Llc NPPES

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

HEALTHSOURCE OF HUNTSVILLE, LLC (NPI 1609209253) is a healthcare organization registered as a preferred provider organization in Huntsville, Alabama and active in the NPI registry since August 2013. The organization lists Sarah S Jacobs, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1609209253
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameHEALTHSOURCE OF HUNTSVILLE, LLC
Location Address930 BOB WALLACE AVE SW STE 225Huntsville, AL 35801-5644
Mailing Address930 Bob Wallace Ave Sw Ste 225Huntsville, AL 35801-5644 · (256) 964-6678
Phone(256) 964-6678
Fax(256) 964-6660
Organization SubpartNo
Authorized OfficialSarah S JacobsManaging Member · (256) 929-3918
Enumeration DateAugust 19, 2013
Last NPPES UpdateNovember 3, 2022
NPPES CertifiedOctober 22, 2020
✔ NPI 1609209253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in AL · 2227
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
930 BOB WALLACE AVE SW STE 225, Huntsville, AL 35801
Open in Google Maps ↗

Other Identifiers 1

Other1417146143AL · Individual Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Of Huntsville, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthsource Of Huntsville, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sarah Jacobs, D.C.
Chiropractic
NPI 1417146143
5850 HIGHWAY 53 STE N
Harvest, AL 35749
(256) 852-2000
✔ Accepts Medicare12 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 Healthsource Of Huntsville, LLC's NPI number?

The NPI number for Healthsource Of Huntsville, LLC is 1609209253. It was assigned to this organization in the NPPES registry on August 19, 2013.

Where is Healthsource Of Huntsville, LLC located?

Healthsource Of Huntsville, LLC is located at 930 Bob Wallace Ave SW Ste 225, Huntsville, AL 35801. The listed phone number is (256) 964-6678.

What is Healthsource Of Huntsville, LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Healthsource Of Huntsville, LLC enrolled in Medicare?

Yes. Healthsource Of Huntsville, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of Huntsville, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healthsource Of Huntsville, 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.

When was this NPI record last updated?

The NPPES record for Healthsource Of Huntsville, LLC was last updated on November 3, 2022. 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.