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

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: August 02, 2026.

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
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

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1602 CHURCH ST SE
DECATUR, AL 35601

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.

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 12 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.