SCOTTSBORO FAMILY PHYSICIANS PC
NPI 1639362239
Family Medicine in Scottsboro, AL

Active since August 27, 2007CLIA 01D1073151 · Microscopy
1302 SOUTH BROAD STREET, SCOTTSBORO, AL 35768(256) 218-4080 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2020, Apr 13, 2020 (2 updates tracked since 2020).

About Scottsboro Family Physicians Pc NPPES

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

SCOTTSBORO FAMILY PHYSICIANS PC (NPI 1639362239) is a healthcare organization registered as a family medicine in Scottsboro, Alabama and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through August 30, 2027 and lists Jennifer C White, Md/secretary, as its authorized official.

NPPES Registry Identity

NPI1639362239
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSCOTTSBORO FAMILY PHYSICIANS PC
Location Address1302 SOUTH BROAD STREETScottsboro, AL 35768-2514
Mailing Address1302 South Broad StreetScottsboro, AL 35768-2514 · (256) 218-4080
Organization SubpartNo
Authorized OfficialJennifer C WhiteMd/secretary · (256) 218-4080
Enumeration DateAugust 27, 2007
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1639362239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1302 SOUTH BROAD STREET, Scottsboro, AL 35768

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)

Scottsboro Family Physicians Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Scottsboro Family Physicians PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1336683085
1302 S BROAD ST
Scottsboro, AL 35768
(256) 218-4080
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1295769768
1302 SOUTH BROAD STREET
Scottsboro, AL 35768
(256) 218-4080
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1689608143
1302 SOUTH BROAD STREET
Scottsboro, AL 35768
(256) 218-4080
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124839311
1302 S BROAD ST
Scottsboro, AL 35768
(256) 218-4080
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1750968707
1302 S BROAD ST
Scottsboro, AL 35768
(256) 218-4080
✔ PECOS✔ Accepts Medicare0.1 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

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 for Provider-Performed Microscopy Procedures (PPMP) 01D1073151

Scottsboro Family Physicians PC · Scottsboro, AL
Active · expires Aug 30, 2027
CLIA Number01D1073151
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorAndrew O. White MD
Laboratory Phone(256) 218-4080
Laboratory LocationScottsboro Family Physicians PC1302 South Broad Street, Scottsboro, AL 35768
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Scottsboro Family Physicians PC's NPI number?

The NPI number for Scottsboro Family Physicians PC is 1639362239. It was assigned to this organization in the NPPES registry on August 27, 2007.

Where is Scottsboro Family Physicians PC located?

Scottsboro Family Physicians PC is located at 1302 South Broad Street, Scottsboro, AL 35768. The listed phone number is (256) 218-4080.

What is Scottsboro Family Physicians PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Scottsboro Family Physicians PC enrolled in Medicare?

Yes. Scottsboro Family Physicians PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scottsboro Family Physicians PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Scottsboro Family Physicians PC. 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) and Family Practice (2). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scottsboro Family Physicians PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D1073151) is associated with this NPI, valid through August 30, 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 Scottsboro Family Physicians PC was last updated on May 21, 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.