MEDICAL EAST OF DECATUR INC
NPI 1700238508
Nurse Practitioner - Family in Somerville, AL
About Medical East Of Decatur Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL EAST OF DECATUR INC (NPI 1700238508), doing business as Somerville Family Medicine, is a healthcare organization registered as a family in Somerville, Alabama and active in the NPI registry since July 2016. The organization lists Michelle D Graham, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical East Of Decatur Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Medical East Of Decatur Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Medical East Of Decatur Inc's NPI number?
The NPI number for Medical East Of Decatur Inc is 1700238508. It was assigned to this organization in the NPPES registry on July 6, 2016. The provider is doing business as Somerville Family Medicine.
Where is Medical East Of Decatur Inc located?
Medical East Of Decatur Inc is located at 4166 Highway 36 E, Somerville, AL 35670. The listed phone number is (256) 778-7172.
What is Medical East Of Decatur Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Medical East Of Decatur Inc enrolled in Medicare?
Yes. Medical East Of Decatur Inc is registered in the Medicare PECOS enrollment system.
When is Medical East Of Decatur Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Medical East Of Decatur Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Medical East Of Decatur Inc. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Medical East Of Decatur Inc was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Medical East Of Decatur Inc · NPI 1700238508
Family organization in Somerville, Alabama. Organization record, active in the CMS NPPES registry since July 6, 2016.
## Identity
- **NPI:** 1700238508 (Entity type: Organization)
- **Enumerated:** July 6, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Somerville Family Medicine (Doing Business As)
- **Organization subpart:** Yes (part of Medical East Of Decatur Inc)
- **Authorized official:** Michelle Graham, CLINICAL DIRECTOR
## Practice location
- **Address:** 4166 HIGHWAY 36 E, Somerville, AL 35670-5803
- **Phone:** (256) 778-7172 · **Fax:** (256) 778-8910
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Alabama, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700238508) · Data from the CMS NPPES public registry.