MAIN STREET CLINIC, LLC
NPI 1740895291
Pediatrics in Pell City, AL

Active since September 11, 2020
1508 COGSWELL AVE, PELL CITY, AL 35125(205) 338-7866(205) 778-4318 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Main Street Clinic, Llc NPPES

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

MAIN STREET CLINIC, LLC (NPI 1740895291) is a healthcare organization registered as a pediatrics in Pell City, Alabama and active in the NPI registry since September 2020. The organization lists Muhammad E Ata, Owner, as its authorized official.

NPPES Registry Identity

NPI1740895291
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAIN STREET CLINIC, LLC
Location Address1508 COGSWELL AVEPell City, AL 35125-1243
Mailing Address1508 Cogswell AvePell City, AL 35125-1243
Fax(205) 778-4318
Organization SubpartNo
Authorized OfficialMuhammad E AtaOwner · (205) 338-7866
Enumeration DateSeptember 11, 2020
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1740895291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1508 COGSWELL AVE, Pell City, AL 35125

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)

Main Street Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Main Street Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner6
Pediatric Medicine2
Psychiatry2
General Practice1
Mental Health Counselor1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1497170542
2850 DR JOHN HAYNES DR
Pell City, AL 35125
(205) 338-7866
✔ PECOS1.5 mi
Nurse Practitioner
NPI 1679824973
801 NORTH ST E
Talladega, AL 35160
(256) 362-3005
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1740052075
27550 STATE HIGHWAY 75 STE 105
Oneonta, AL 35121
(205) 625-5711
✔ PECOS27 mi
Pediatric Medicine
NPI 1689643009
150 GILBREATH DR SUITE 201
Oneonta, AL 35121
(205) 625-3561
✔ PECOS27 mi
Mental Health Counselor
NPI 1275923138
1501 DECATUR HWY
Gardendale, AL 35071
(205) 644-1166
✔ PECOS31 mi
Nurse Practitioner
NPI 1255893889
1642A PELHAM RD S
Jacksonville, AL 36265
(256) 365-2233
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1417323452
2409 HOMER CLAYTON DRIVE
Guntersville, AL 35976
(256) 582-3203
✔ PECOS52 mi
Nurse Practitioner
NPI 1184165748
1111 WAYNE RD NW SUITE 6
Huntsville, AL 35806
(256) 288-3333
✔ PECOS✔ Accepts Medicare83 mi
General Practice
NPI 1518195460
500 N MONTGOMERY AVE
Sheffield, AL 35660
(256) 386-5504
✔ PECOS115 mi
Psychiatry
NPI 1942763362
1075 JESSE JEWELL PKWY NE STE A
Gainesville, GA 30501
(770) 219-8720
✔ PECOS✔ Accepts Medicare151 mi
Psychiatry
NPI 1255432027
840 PASSOVER RD
Osage Beach, MO 65065
(573) 302-0319
✔ PECOS✔ Accepts Medicare474 mi
Pediatric Medicine
NPI 1639130248
2410 N FOWLER ST
Hobbs, NM 88240
(575) 392-2040
✔ PECOS✔ Accepts Medicare977 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 Main Street Clinic, LLC's NPI number?

The NPI number for Main Street Clinic, LLC is 1740895291. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Main Street Clinic, LLC located?

Main Street Clinic, LLC is located at 1508 Cogswell Ave, Pell City, AL 35125. The listed phone number is (205) 338-7866.

What is Main Street Clinic, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Main Street Clinic, LLC enrolled in Medicare?

Yes. Main Street Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Main Street Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Main Street Clinic, LLC. 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 Nurse Practitioner (6), Pediatric Medicine (2) and Psychiatry (2). Of these, 1 practice 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 Main Street Clinic, LLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.