PISGAH MEDICAL CLINIC
NPI 1679827497
Clinic/Center - Multi-Specialty in Pisgah, AL
About Pisgah Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PISGAH MEDICAL CLINIC (NPI 1679827497) is a healthcare organization registered as a multi-specialty in Pisgah, Alabama and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Muhammad Ejaz Ata, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pisgah Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Pisgah Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
Pisgah, AL 35765
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 01D0857036
Valley Head Clinic/Dba Pisgah Med Clinic Pisgah Medical Clinic · Pisgah, 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 Valley Head Clinic LLC's NPI number?
The NPI number for Valley Head Clinic LLC is 1679827497. It was assigned to this organization in the NPPES registry on October 31, 2012. The provider is doing business as Pisgah Medical Clinic.
Where is Valley Head Clinic LLC located?
Valley Head Clinic LLC is located at 6110 County Road 88, Pisgah, AL 35765. The listed phone number is (256) 451-1250.
What is Valley Head Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Valley Head Clinic LLC enrolled in Medicare?
Yes. Valley Head Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valley Head Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Valley Head Clinic 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. The largest specialties are Nurse Practitioner (6), Cardiovascular Disease (Cardiology) (2) and Pediatric Medicine (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Valley Head Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0857036) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Valley Head Clinic LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Valley Head Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Valley Head Clinic LLC was last updated on October 17, 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.
# Pisgah Medical Clinic · NPI 1679827497
Multi-Specialty organization in Pisgah, Alabama. Organization record, active in the CMS NPPES registry since October 31, 2012.
## Identity
- **NPI:** 1679827497 (Entity type: Organization)
- **Enumerated:** October 31, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Valley Head Clinic Llc
- **Organization subpart:** No
- **Authorized official:** Muhammad Ata, OWNER
## Practice location
- **Address:** 6110 COUNTY ROAD 88, Pisgah, AL 35765
- **Phone:** (256) 451-1250 · **Fax:** (256) 451-1270
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Cardiovascular Disease (Cardiology) (2), Pediatric Medicine (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679827497) · Data from the CMS NPPES public registry.