INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC
NPI 1720106859
Specialist in Montgomery, AL

Active since March 27, 2007CLIA 01D0304366 · Waiver
6940 WINTON BLOUNT BLVD, MONTGOMERY, AL 36117(334) 279-9211(334) 279-9925 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Internal Medicine Associates Of Montgomery Pc NPPES

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

INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC (NPI 1720106859) is a healthcare organization registered as a specialist in Montgomery, Alabama and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Candace Bridges, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720106859
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTERNAL MEDICINE ASSOCIATES OF MONTGOMERY PC
Location Address6940 WINTON BLOUNT BLVDMontgomery, AL 36117-3556
Mailing Address6940 Winton Blount BlvdMontgomery, AL 36117-3556 · (334) 279-9211 · Fax (334) 279-9925
Fax(334) 279-9925
Organization SubpartNo
Authorized OfficialCandace BridgesOffice Manager · (334) 279-9211
Enumeration DateMarch 27, 2007
Last NPPES UpdateJanuary 9, 2017
✔ NPI 1720106859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6940 WINTON BLOUNT BLVD, Montgomery, AL 36117

Other Identifiers 3

Medicaid528600110AL
Medicare PINJ366AL
OtherCK4854AL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Internal Medicine Associates Of Montgomery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Internal Medicine Associates Of Montgomery PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Internal Medicine
NPI 1144314642
6940 WINTON BLOUNT BLVD
Montgomery, AL 36117
(334) 279-9211
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1316031677
6940 WINTON BLOUNT BLVD
Montgomery, AL 36117
(334) 279-9211
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1972697464
6940 WINTON BLOUNT BLVD
Montgomery, AL 36117
(334) 279-9211
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528453198
400 TAYLOR RD SUITE 3380
Montgomery, AL 36117
(334) 213-6255
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1467498063
440 TAYLOR RD STE 3200
Montgomery, AL 36117
(334) 213-6287
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1619218369
2055 E SOUTH BLVD SUITE 308
Montgomery, AL 36116
(334) 747-2390
✔ PECOS✔ Accepts Medicare6.8 mi
Nurse Practitioner
NPI 1184965402
1500 ROUTE 112 STE 101
Port Jefferson Station, NY 11776
(631) 751-3000
✔ PECOS✔ Accepts Medicare936 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 Waiver 01D0304366

Internal Medicine Associates · Montgomery, AL
Active · expires Apr 7, 2028
CLIA Number01D0304366
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorWilliam Jonathon Dailey MD
Laboratory Phone(334) 279-9211
Laboratory LocationInternal Medicine Associates6940 Winton Blount Blvd, Montgomery, AL 36117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Internal Medicine Associates Of Montgomery PC's NPI number?

The NPI number for Internal Medicine Associates Of Montgomery PC is 1720106859. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Internal Medicine Associates Of Montgomery PC located?

Internal Medicine Associates Of Montgomery PC is located at 6940 Winton Blount Blvd, Montgomery, AL 36117. The listed phone number is (334) 279-9211.

What is Internal Medicine Associates Of Montgomery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Internal Medicine Associates Of Montgomery PC enrolled in Medicare?

Yes. Internal Medicine Associates Of Montgomery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Associates Of Montgomery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Internal Medicine Associates Of Montgomery PC. 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 Internal Medicine (4), Nurse Practitioner (2) and Family Practice (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Internal Medicine Associates Of Montgomery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0304366) is associated with this NPI, valid through April 7, 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 Internal Medicine Associates Of Montgomery PC was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.