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SELMA FAMILY CARE PC
NPI 1750870812
Family Medicine in Selma, AL

Active since May 04, 2018CLIA 01D2148672 · Waiver
SELMA FAMILY CARE, PC, 203 VAUGHAN MEMORIAL DRIVE, SELMA, AL 36701(334) 375-8007 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Selma Family Care Pc NPPES

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

SELMA FAMILY CARE PC (NPI 1750870812) is a healthcare organization registered as a family medicine in Selma, Alabama and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through July 31, 2028 and lists Sean B Bohannon, Owner/, as its authorized official.

NPPES Registry Identity

NPI1750870812
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSELMA FAMILY CARE PC
Location AddressSELMA FAMILY CARE, PC, 203 VAUGHAN MEMORIAL DRIVESelma, AL 36701-6950
Mailing AddressPo Box 570Selma, AL 36702-0570 · (334) 375-8007
Phone(334) 375-8007
Organization SubpartNo
Authorized OfficialSean B BohannonOwner/ · (334) 375-8007
Enumeration DateMay 4, 2018
✔ NPI 1750870812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
SELMA FAMILY CARE, PC, Selma, AL 36701
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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)

Selma Family Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Selma Family Care PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Sean Bohannon, M.D.
Family Practice
NPI 1881851491
203 VAUGHAN MEMORIAL DR
Selma, AL 36701
(334) 375-8007
✔ PECOS✔ Accepts Medicare1.7 mi
Tamarah Mason, CRNP
Nurse Practitioner
NPI 1104867837
203 VAUGHAN MEMORIAL DR
Selma, AL 36701
(334) 375-8007
✔ PECOS✔ Accepts Medicare1.7 mi
Lauren Wendland, NP
Nurse Practitioner
NPI 1366901076
203 VAUGHAN MEMORIAL DR
Selma, AL 36701
(334) 375-8007
✔ PECOS✔ Accepts Medicare1.8 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 01D2148672

Selma Family Care · Selma, AL
Active · expires Jul 31, 2028
CLIA Number01D2148672
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2026
Certificate Expiration DateJuly 31, 2028
Laboratory DirectorSean B. Bohannon
Laboratory Phone(334) 375-8007
Laboratory LocationSelma Family Care203 Vaughan Memorial Drive, Selma, AL 36701
CLIA data matches this NPI record on: 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 Selma Family Care PC's NPI number?

The NPI number for Selma Family Care PC is 1750870812. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Selma Family Care PC located?

Selma Family Care PC is located at Selma Family Care, PC 203 Vaughan Memorial Drive, Selma, AL 36701. The listed phone number is (334) 375-8007.

What is Selma Family Care PC's specialty?

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

Is Selma Family Care PC enrolled in Medicare?

Yes. Selma Family Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Selma Family Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Selma Family Care PC, in Family Practice and Nurse Practitioner. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Selma Family Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2148672) is associated with this NPI, valid through July 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Selma Family Care PC was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.