THE COULTER CLINIC, LLC
NPI 1710709654
Nurse Practitioner - Family in Athens, AL

Active since October 31, 2024
1405 SW JEFFERSON ST, ATHENS, AL 35611(256) 780-0216(256) 780-0218 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Coulter Clinic, Llc NPPES

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

THE COULTER CLINIC, LLC (NPI 1710709654) is a healthcare organization registered as a family in Athens, Alabama and active in the NPI registry since October 2024. The organization lists Morgan Bates Coulter, Clinic Owner, Fnp, as its authorized official.

NPPES Registry Identity

NPI1710709654
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE COULTER CLINIC, LLC
Location Address1405 SW JEFFERSON STAthens, AL 35611-3531
Mailing Address1405 Sw Jefferson StAthens, AL 35611-3531 · (256) 780-0216 · Fax (256) 780-0218
Fax(256) 780-0218
Organization SubpartNo
Authorized OfficialMorgan Bates CoulterClinic Owner, Fnp · (256) 780-0216
Enumeration DateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1710709654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1405 SW JEFFERSON ST, Athens, AL 35611

Other Identifiers 1

Other1-154372AL · Provider License Number

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)

The Coulter Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Coulter Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1154884286
21186 BARLEY TERRACE DR
Elkmont, AL 35620
(256) 867-5757
✔ PECOS✔ Accepts Medicare7.4 mi

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 The Coulter Clinic, LLC's NPI number?

The NPI number for The Coulter Clinic, LLC is 1710709654. It was assigned to this organization in the NPPES registry on October 31, 2024.

Where is The Coulter Clinic, LLC located?

The Coulter Clinic, LLC is located at 1405 SW Jefferson St, Athens, AL 35611. The listed phone number is (256) 780-0216.

What is The Coulter Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is The Coulter Clinic, LLC enrolled in Medicare?

Yes. The Coulter Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Coulter Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to The Coulter 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Coulter Clinic, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.