LAKE MARTIN COMMUNITY HOSPITAL
NPI 1720273303
General Acute Care Hospital - Rural in Dadeville, AL
About Lake Martin Community Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE MARTIN COMMUNITY HOSPITAL (NPI 1720273303) is a healthcare organization registered as a rural in Dadeville, Alabama and active in the NPI registry since September 2007. The organization lists Michael D Bruce, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Martin Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
44Medicare enrollment records show 44 clinicians reassign Medicare billing to Lake Martin Community Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 44Birmingham, AL 35294
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 Ivy Creek Of Tallapoosa's NPI number?
The NPI number for Ivy Creek Of Tallapoosa is 1720273303. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is doing business as Lake Martin Community Hospital.
Where is Ivy Creek Of Tallapoosa located?
Ivy Creek Of Tallapoosa is located at 201 Mariarden Rd, Dadeville, AL 36853. The listed phone number is (256) 825-7821.
What is Ivy Creek Of Tallapoosa's specialty?
The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.
Is Ivy Creek Of Tallapoosa enrolled in Medicare?
Yes. Ivy Creek Of Tallapoosa is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ivy Creek Of Tallapoosa?
According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 10 Medicare specialties reassign their Medicare billing to Ivy Creek Of Tallapoosa. 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 Family Practice (17), Nurse Practitioner (15) and Emergency Medicine (4). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ivy Creek Of Tallapoosa was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lake Martin Community Hospital · NPI 1720273303
Rural organization in Dadeville, Alabama. Organization record, active in the CMS NPPES registry since September 7, 2007.
## Identity
- **NPI:** 1720273303 (Entity type: Organization)
- **Enumerated:** September 7, 2007
- **Primary specialty:** General Acute Care Hospital - Rural · taxonomy 282NR1301X
- **Legal business name:** Ivy Creek Of Tallapoosa
- **Organization subpart:** No
- **Authorized official:** Michael Bruce, CEO
## Practice location
- **Address:** 201 MARIARDEN RD, Dadeville, AL 36853-6244
- **Phone:** (256) 825-7821 · **Fax:** (256) 825-5899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 44 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (17), Nurse Practitioner (15), Emergency Medicine (4); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1720273303/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2022
- **Other identifiers:** Other 01D0641802 (AL); Medicaid 529916200 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1720273303) · Data from the CMS NPPES public registry.