CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL
NPI 1740493436
Nurse Practitioner - Family in Decatur, AL

Q: What is Centers For Developmentally Disabled, North Central Al's specialty?

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

Active since May 08, 2007

1602 CHURCH ST SE, DECATUR, AL 35601(256) 350-1458(256) 350-1485 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Centers For Developmentally Disabled, North Central Al NPPES

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

CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL (NPI 1740493436), doing business as Cddnca, Inc, is a healthcare organization registered as a family in Decatur, Alabama and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Decatur and lists Shayla Sha-von Johnson, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1740493436

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL

Location Address1602 CHURCH ST SEDecatur, AL 35601-3402

Mailing AddressPo Box 2091, 1602 Church St Se;Decatur, AL 35601-3402 · (256) 350-1458 · Fax (256) 350-1485

Phone(256) 350-1458

Fax(256) 350-1485

Organization SubpartNo

Authorized OfficialShayla Sha-von JohnsonComptroller · (256) 350-1458

Enumeration DateMay 8, 2007

Last NPPES UpdateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1740493436 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

License✔ Licensed in AL · 1-037625

1602 CHURCH ST SE, Decatur, AL 35601

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Other Names 1

Doing Business AsCddnca, Inc

Secondary Practice Location 1

Location 12122 Danville Rd SWDecatur, AL 35601-4617 · Phone (256) 260-7991

Other Identifiers 1

Medicaid529932620AL

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)

Centers For Developmentally Disabled, North Central Al is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Centers For Developmentally Disabled, North Central Al, 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 (3)

Betty Burnett, CRNP

Nurse Practitioner

NPI 1508029646

1602 CHURCH ST SE
Decatur, AL 35601

(256) 350-1458

✔ PECOSSame address

Jennifer Burns, CRNP

Nurse Practitioner

NPI 1114796190

PO BOX 2091
Decatur, AL 35602

(256) 350-1458

✔ PECOS✔ Accepts Medicare2.6 mi

Mary Sullivan, CRNP

Nurse Practitioner

NPI 1356620009

2100 SOUTHBRIDGE PKWY STE 650
Birmingham, AL 35209

(205) 533-8902

✔ PECOS77 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 Centers For Developmentally Disabled, North Central Al's NPI number?

The NPI number for Centers For Developmentally Disabled, North Central Al is 1740493436. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as CDDNCA, Inc.

Where is Centers For Developmentally Disabled, North Central Al located?

Centers For Developmentally Disabled, North Central Al is located at 1602 Church St SE, Decatur, AL 35601. The listed phone number is (256) 350-1458.

What is Centers For Developmentally Disabled, North Central Al's specialty?

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

Is Centers For Developmentally Disabled, North Central Al enrolled in Medicare?

Yes. Centers For Developmentally Disabled, North Central Al is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centers For Developmentally Disabled, North Central Al?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Centers For Developmentally Disabled, North Central Al. 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.

When was this NPI record last updated?

The NPPES record for Centers For Developmentally Disabled, North Central Al was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.