MOULTON PRIMARY CARE CLINIC
NPI 1760930200
Clinic/Center - Rural Health in Moulton, AL
About Moulton Primary Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOULTON PRIMARY CARE CLINIC (NPI 1760930200) is a healthcare organization registered as a rural health in Moulton, Alabama and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through July 28, 2028 and lists Christy Louallen, Credentialing/billing Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Moulton Primary Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
33Medicare enrollment records show 33 clinicians reassign Medicare billing to Moulton Primary Care Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 33Source: 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 01D2116647
Moulton Primary Care Clinic · Moulton, ALFrequently 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 Attentus Moulton, LLC's NPI number?
The NPI number for Attentus Moulton, LLC is 1760930200. It was assigned to this organization in the NPPES registry on September 13, 2016. The provider is doing business as Moulton Primary Care Clinic.
Where is Attentus Moulton, LLC located?
Attentus Moulton, LLC is located at 40 Medical Cir, Moulton, AL 35650. The listed phone number is (256) 974-0606.
What is Attentus Moulton, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Attentus Moulton, LLC enrolled in Medicare?
Yes. Attentus Moulton, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Attentus Moulton, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 5 Medicare specialties reassign their Medicare billing to Attentus Moulton, 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 (14), Emergency Medicine (7) and Certified Registered Nurse Anesthetist (CRNA) (6). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Attentus Moulton, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2116647) is associated with this NPI, valid through July 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Attentus Moulton, LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Attentus Moulton, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Attentus Moulton, LLC was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Moulton Primary Care Clinic · NPI 1760930200
Rural Health organization in Moulton, Alabama. Organization record, active in the CMS NPPES registry since September 13, 2016.
## Identity
- **NPI:** 1760930200 (Entity type: Organization)
- **Enumerated:** September 13, 2016
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Attentus Moulton, Llc
- **Organization subpart:** No
- **Authorized official:** Christy Louallen, CREDENTIALING/BILLING SUPERVISOR
## Practice location
- **Address:** 40 MEDICAL CIR, Moulton, AL 35650-1256
- **Phone:** (256) 974-0606 · **Fax:** (256) 522-2227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 33 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Emergency Medicine (7), Certified Registered Nurse Anesthetist (CRNA) (6); 4 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1760930200/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1760930200) · Data from the CMS NPPES public registry.