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CULLMAN REGIONAL HARTSELLE HEALTH PARK
NPI 1710640305
Clinic/Center - Radiology in Hartselle, AL

Active since October 20, 2021CLIA 01D2239130 · Accreditation
1549 HIGHWAY 31 NW, HARTSELLE, AL 35640(256) 735-5920 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 3, 2021, Oct 20, 2021 (2 updates tracked since 2021).

About Cullman Regional Hartselle Health Park NPPES

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

CULLMAN REGIONAL HARTSELLE HEALTH PARK (NPI 1710640305) is a healthcare organization registered as a radiology in Hartselle, Alabama and active in the NPI registry since October 2021. The organization holds an CLIA Accreditation certificate valid through September 1, 2028 and lists Nesha Donaldson, Coo, as its authorized official.

NPPES Registry Identity

NPI1710640305
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameCULLMAN REGIONAL MEDICAL CENTER, INC
Location Address1549 HIGHWAY 31 NWHartselle, AL 35640-4431
Mailing AddressPo Box 1108Cullman, AL 35056-1108 · (256) 737-2081 · Fax (256) 737-5003
Phone(256) 735-5920
Organization SubpartYesParent: Cullman Regional Medical Center, Inc.
Authorized OfficialNesha DonaldsonCoo · (256) 737-2930
Enumeration DateOctober 20, 2021
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1710640305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
1549 HIGHWAY 31 NW, Hartselle, AL 35640
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Other Names 1

Other NameCullman Regional Hartselle Health Park

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)

Cullman Regional Hartselle Health Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20211230002135Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Cullman Regional Hartselle Health Park, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (10)

Marc Chitty, MD
Diagnostic Radiology
NPI 1538164678
50 MEDICAL PARK DR E
Birmingham, AL 35235
(205) 838-3435
✔ PECOS✔ Accepts Medicare62 mi
Jonathan Davis, DO
Diagnostic Radiology
NPI 1760432546
50 MEDICAL PARK DR E
Birmingham, AL 35235
(205) 838-3134
✔ PECOS✔ Accepts Medicare62 mi
Theodore Baker, MD
Diagnostic Radiology
NPI 1508861287
50 MEDICAL PARK DR E
Birmingham, AL 35235
(205) 838-3435
✔ PECOS✔ Accepts Medicare62 mi
Scott Thompson, M.D.
Diagnostic Radiology
NPI 1346421369
619 19TH ST S
Birmingham, AL 35249
(205) 934-4011
✔ PECOS✔ Accepts Medicare65 mi
Julian Druhan, M.D.
Diagnostic Radiology
NPI 1285899088
840 MONTCLAIR RD SUITE 317
Birmingham, AL 35213
(205) 592-5135
✔ PECOS✔ Accepts Medicare66 mi
Joel Raborn, M.D.
Diagnostic Radiology
NPI 1073992707
840 MONTCLAIR RD SUITE 317
Birmingham, AL 35213
(205) 599-4822
✔ PECOS✔ Accepts Medicare66 mi
Joseph Eason, M.D.
Diagnostic Radiology
NPI 1245495043
H623 NEW HILLMAN BUILDING 619 19TH ST S DEPARTMENT OF RADIOLOGY DIVISION OF VASCULAR & INTERVEN
Birmingham, AL 35249
(205) 975-4850
✔ PECOS✔ Accepts Medicare66 mi
Austin Dennis, M.D.
Diagnostic Radiology
NPI 1891142048
3690 GRANDVIEW PKWY
Birmingham, AL 35243
(205) 971-1257
✔ PECOS✔ Accepts Medicare72 mi
Ryan Buckner, M.D.
Diagnostic Radiology
NPI 1851527394
975 E 3RD ST # 376 SUITE 317
Chattanooga, TN 37403
(423) 778-7234
✔ PECOS✔ Accepts Medicare103 mi
Joseph Embry, M.D.
Diagnostic Radiology
NPI 1114108255
400 HIGHLAND AVE LEWISTOWN HOSPITAL RADIOLOGY DEPT
Lewistown, PA 17044
(717) 242-7782
✔ PECOS✔ Accepts Medicare667 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 Accreditation 01D2239130

Cullman Regional Medical Center Dba Cullman Regional Hartselle Healthpark Emergency De · Hartselle, AL
Active · expires Sep 1, 2028
CLIA Number01D2239130
Laboratory TypeFreestanding Emergency De
Certificate Effective DateSeptember 2, 2026
Certificate Expiration DateSeptember 1, 2028
Laboratory DirectorMeiklejohn Mckenzie
Laboratory Phone(256) 735-5937
Laboratory LocationCullman Regional Medical Center Dba Cullman Regional Hartselle Healthpark Emergency De1549 Hwy 31 NW, Laboratory Attn Brandon Evans, Hartselle, AL 35640
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Cullman Regional Medical Center, Inc's NPI number?

The NPI number for Cullman Regional Medical Center, Inc is 1710640305. It was assigned to this organization in the NPPES registry on October 20, 2021. The provider is also known as Cullman Regional Hartselle Health Park.

Where is Cullman Regional Medical Center, Inc located?

Cullman Regional Medical Center, Inc is located at 1549 Highway 31 NW, Hartselle, AL 35640. The listed phone number is (256) 735-5920.

What is Cullman Regional Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Cullman Regional Medical Center, Inc enrolled in Medicare?

Yes. Cullman Regional Medical Center, Inc is registered in the Medicare PECOS enrollment system.

When is Cullman Regional Medical Center, 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 December 31, 2026. 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 Cullman Regional Medical Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Cullman Regional Medical Center, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cullman Regional Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D2239130) is associated with this NPI, valid through September 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cullman Regional Medical Center, Inc was last updated on March 15, 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.