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HEADLAND FAMILY MEDICINE
NPI 1730126129
Family Medicine in Headland, AL

Active since June 02, 2006CLIA 01D1002498 · Waiver
204 HOLMAN DR, HEADLAND, AL 36345(334) 693-3336(334) 693-2553 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Headland Family Medicine NPPES

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

HEADLAND FAMILY MEDICINE (NPI 1730126129) is a healthcare organization registered as a family medicine in Headland, Alabama and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Niel Christian Rasmussen, President, as its authorized official.

NPPES Registry Identity

NPI1730126129
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNIEL C RASMUSSEN MD PC
Location Address204 HOLMAN DRHeadland, AL 36345-2307
Mailing Address204 Holman DrHeadland, AL 36345-2307 · (334) 693-3336 · Fax (334) 693-2553
Phone(334) 693-3336
Fax(334) 693-2553
Organization SubpartNo
Authorized OfficialNiel Christian RasmussenPresident · (334) 693-3336
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730126129 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 · 00021221
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.
204 HOLMAN DR, Headland, AL 36345
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Other Names 1

Doing Business AsHeadland Family Medicine

Other Identifiers 1

OtherJ071Medicare Group 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)

Headland Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Headland Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Haley Roberts, MD
Family Practice
NPI 1912694068
204 HOLMAN DR
Headland, AL 36345
(334) 693-3336
✔ PECOS✔ Accepts MedicareSame address
Niel Rasmussen, MD
Family Practice
NPI 1174560916
204 HOLMAN DR
Headland, AL 36345
(334) 693-3336
✔ PECOS✔ Accepts Medicare0.1 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 01D1002498

Headland Family Medicine · Headland, AL
Active · expires Jul 27, 2027
CLIA Number01D1002498
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorNiel Rasmussen
Laboratory Phone(334) 693-3336
Laboratory LocationHeadland Family Medicine204 Holman Drive, Headland, AL 36345
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 Niel C Rasmussen MD PC's NPI number?

The NPI number for Niel C Rasmussen MD PC is 1730126129. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Headland Family Medicine.

Where is Niel C Rasmussen MD PC located?

Niel C Rasmussen MD PC is located at 204 Holman Dr, Headland, AL 36345. The listed phone number is (334) 693-3336.

What is Niel C Rasmussen MD PC's specialty?

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

Is Niel C Rasmussen MD PC enrolled in Medicare?

Yes. Niel C Rasmussen MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Niel C Rasmussen MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Niel C Rasmussen MD 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Niel C Rasmussen MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1002498) is associated with this NPI, valid through July 27, 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 Niel C Rasmussen MD PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.