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MONTEVALLO FAMILY MEDICINE, LLC
NPI 1720009962
Family Medicine in Montevallo, AL

Active since July 22, 2006CLIA 01D0300275 · Microscopy
33 SALEM RD, SUITE 1, MONTEVALLO, AL 35115(205) 665-7991(205) 665-2913 Get Directions Write a Review

NPPES record last updated: November 7, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Montevallo Family Medicine, Llc NPPES

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

MONTEVALLO FAMILY MEDICINE, LLC (NPI 1720009962) is a healthcare organization registered as a family medicine in Montevallo, Alabama and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through October 5, 2027 and lists Jonathan C. Merkle, Physician, as its authorized official.

NPPES Registry Identity

NPI1720009962
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMONTEVALLO FAMILY MEDICINE, LLC
Location Address33 SALEM RD, SUITE 1Montevallo, AL 35115-3586
Mailing Address33 Salem Rd, Suite 1Montevallo, AL 35115-3586 · (205) 665-7991 · Fax (205) 665-2913
Phone(205) 665-7991
Fax(205) 665-2913
Organization SubpartNo
Authorized OfficialJonathan C. MerklePhysician · (205) 665-7991
Enumeration DateJuly 22, 2006
Last NPPES UpdateNovember 7, 2011
✔ NPI 1720009962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 21192
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
33 SALEM RD, Montevallo, AL 35115
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Other Identifiers 4

Medicare UPING96107AL
Medicaid529911870AL
Medicare ID-Type Unspecified051507997AL
Medicaid51517997AL

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)

Montevallo Family Medicine, 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 Montevallo Family Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jonathan Merkle, M.D.
Family Practice
NPI 1720064058
33 SALEM RD SUITE 1
Montevallo, AL 35115
(205) 665-7991
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 01D0300275

Montevallo Family Medicine LLC · Montevallo, AL
Active · expires Oct 5, 2027
CLIA Number01D0300275
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorJonathan C. Merkle
Laboratory Phone(205) 665-7991
Laboratory LocationMontevallo Family Medicine LLC33 Salem Road Suite 1, Montevallo, AL 35115
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Montevallo Family Medicine, LLC's NPI number?

The NPI number for Montevallo Family Medicine, LLC is 1720009962. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Montevallo Family Medicine, LLC located?

Montevallo Family Medicine, LLC is located at 33 Salem Rd Suite 1, Montevallo, AL 35115. The listed phone number is (205) 665-7991.

What is Montevallo Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Montevallo Family Medicine, LLC enrolled in Medicare?

Yes. Montevallo Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montevallo Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Montevallo Family Medicine, 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.

Does Montevallo Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0300275) is associated with this NPI, valid through October 5, 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 Montevallo Family Medicine, LLC was last updated on November 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.