CHILTON MEDICAL GROUP P C
NPI 1629121553
Legal Medicine in Clanton, AL

Q: What is Chilton Medical Group P C's NPI number?

The NPI number for Chilton Medical Group P C is 1629121553. It was assigned to this organization in the NPPES registry on January 22, 2007.

Q: What is Chilton Medical Group P C's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since January 22, 2007

108 MEDICAL CENTER DR, CLANTON, AL 35045(205) 755-5700(888) 418-7660 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Chilton Medical Group P C NPPES

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

CHILTON MEDICAL GROUP P C (NPI 1629121553) is a healthcare organization registered as a legal medicine in Clanton, Alabama and active in the NPI registry since January 2007. The organization lists Heather Renee Gann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629121553

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameCHILTON MEDICAL GROUP P C

Location Address108 MEDICAL CENTER DRClanton, AL 35045-2332

Mailing Address108 Medical Center DrClanton, AL 35045-2332 · (205) 755-5700 · Fax (205) 755-4966

Phone(205) 755-5700

Fax(888) 418-7660

Organization SubpartNo

Authorized OfficialHeather Renee GannAdministrator · (205) 755-5700

Enumeration DateJanuary 22, 2007

Last NPPES UpdateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1629121553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

108 MEDICAL CENTER DR, Clanton, AL 35045

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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)

Chilton Medical Group P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Chilton Medical Group 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)

Charles Funderburk, MD

Family Practice

NPI 1447249750

108 MEDICAL CENTER DR
Clanton, AL 35045

(205) 755-5700

✔ PECOS✔ Accepts MedicareSame address

Isabella Hudson, CRNP

Nurse Practitioner

NPI 1962968974

108 MEDICAL CENTER DR
Clanton, AL 35045

(205) 755-5700

✔ PECOSSame address

Toshia Milam, CRNP MSN, FNP-BC

Nurse Practitioner

NPI 1750154852

108 MEDICAL CENTER DR
Clanton, AL 35045

(205) 755-5700

✔ PECOSSame address

Kristopher Wood, MD

Internal Medicine

NPI 1700875028

108 MEDICAL CENTER DR
Clanton, AL 35045

(205) 755-5700

✔ PECOS✔ Accepts MedicareSame address

Natalie Ellison, CRNP

Nurse Practitioner

NPI 1881211043

2030 LAY DAM RD
Clanton, AL 35045

(205) 258-4405

✔ PECOS✔ Accepts Medicare1.0 mi

Samantha Ashley

Family Practice

NPI 1790281848

625 19TH ST S
Birmingham, AL 35233

(256) 536-5511

✔ PECOS✔ Accepts Medicare48 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 Chilton Medical Group P C's NPI number?

The NPI number for Chilton Medical Group P C is 1629121553. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Chilton Medical Group P C located?

Chilton Medical Group P C is located at 108 Medical Center Dr, Clanton, AL 35045. The listed phone number is (205) 755-5700.

What is Chilton Medical Group P C's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Chilton Medical Group P C enrolled in Medicare?

Yes. Chilton Medical Group P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chilton Medical Group P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Chilton Medical Group 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), Family Practice (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.

When was this NPI record last updated?

The NPPES record for Chilton Medical Group P C was last updated on March 28, 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.