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GERIATRIC ASSOCIATES OF MONTGOMERY, PC
NPI 1679637912
Family Medicine - Geriatric Medicine in Montgomery, AL

Active since December 21, 2006CLIA 01D0966852 · Waiver
1230 CARMICHAEL WAY, MONTGOMERY, AL 36106(334) 277-7665(334) 277-7142 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Geriatric Associates Of Montgomery, Pc NPPES

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

GERIATRIC ASSOCIATES OF MONTGOMERY, PC (NPI 1679637912) is a healthcare organization registered as a geriatric medicine in Montgomery, Alabama and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Joel C Bolen, President, as its authorized official.

NPPES Registry Identity

NPI1679637912
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGERIATRIC ASSOCIATES OF MONTGOMERY, PC
Location Address1230 CARMICHAEL WAYMontgomery, AL 36106-3671
Mailing Address1230 Carmichael WayMontgomery, AL 36106-3671 · (334) 277-7665 · Fax (334) 277-7142
Phone(334) 277-7665
Fax(334) 277-7142
Organization SubpartNo
Authorized OfficialJoel C BolenPresident · (334) 277-7665
Enumeration DateDecember 21, 2006
Last NPPES UpdateAugust 3, 2016
✔ NPI 1679637912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1230 CARMICHAEL WAY, Montgomery, AL 36106
Open in Google Maps ↗

Other Identifiers 1

Medicare PINI937AL

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)

Geriatric Associates Of Montgomery, 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 Geriatric Associates Of Montgomery, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Joel Bolen, MD
Internal Medicine
NPI 1063576130
1230 CARMICHAEL WAY
Montgomery, AL 36106
(334) 277-7665
✔ PECOS✔ Accepts MedicareSame address
Courtnye Simmons, CRNP
Nurse Practitioner
NPI 1407155369
3000 ROSA L PARKS AVE
Montgomery, AL 36105
(334) 777-1290
✔ PECOS✔ Accepts Medicare3.1 mi
Karen Kelker, CRNP
Nurse Practitioner
NPI 1992869051
3060 MOBILE HWY
Montgomery, AL 36108
(334) 293-6670
✔ PECOS5.8 mi
Dorothy Thompson, CRNP
Nurse Practitioner
NPI 1295489672
200 CHERRY ST
Troy, AL 36081
(334) 566-3391
✔ PECOS41 mi
Jennifer Landrum, FNP-BC
Nurse Practitioner
NPI 1720551732
2212 S EASTERN AVE
Las Vegas, NV 89104
(702) 735-9334
✔ PECOS✔ Accepts Medicare1,667 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 of Waiver 01D0966852

Geriatric Associates Of Montgomery PC · Montgomery, AL
Active · expires Oct 25, 2027
CLIA Number01D0966852
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDr. Joel C. Bolen MD
Laboratory Phone(334) 277-7665
Laboratory LocationGeriatric Associates Of Montgomery PC1230 Carmichael Way, Montgomery, AL 36106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Geriatric Associates Of Montgomery, PC's NPI number?

The NPI number for Geriatric Associates Of Montgomery, PC is 1679637912. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Geriatric Associates Of Montgomery, PC located?

Geriatric Associates Of Montgomery, PC is located at 1230 Carmichael Way, Montgomery, AL 36106. The listed phone number is (334) 277-7665.

What is Geriatric Associates Of Montgomery, PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Geriatric Associates Of Montgomery, PC enrolled in Medicare?

Yes. Geriatric Associates Of Montgomery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Geriatric Associates Of Montgomery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Geriatric Associates Of Montgomery, 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 (4) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Geriatric Associates Of Montgomery, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0966852) is associated with this NPI, valid through October 25, 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 Geriatric Associates Of Montgomery, PC was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.