CEDAR STREET MEDICAL ASSOCIATES
NPI 1780376970
Family Medicine in Hartselle, AL

Active since May 24, 2023CLIA 01D2284924 · Waiver
220 CEDAR ST NW, HARTSELLE, AL 35640(256) 773-2260 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cedar Street Medical Associates NPPES

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

CEDAR STREET MEDICAL ASSOCIATES (NPI 1780376970), doing business as Cedar Street Medical, is a healthcare organization registered as a family medicine in Hartselle, Alabama and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 29, 2027 and lists Lori A Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1780376970
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCEDAR STREET MEDICAL ASSOCIATES
Location Address220 CEDAR ST NWHartselle, AL 35640-2404
Mailing Address586 County Road 1329Vinemont, AL 35179-6885 · (256) 338-4059
Organization SubpartNo
Authorized OfficialLori A HenryOwner · (256) 338-4059
Enumeration DateMay 24, 2023
NPPES CertifiedMay 24, 2023
✔ NPI 1780376970 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.
220 CEDAR ST NW, Hartselle, AL 35640

Other Names 1

Doing Business AsCedar Street Medical

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)

Cedar Street Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Cedar Street Medical Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1255754321
220 CEDAR ST NW
Hartselle, AL 35640
(256) 773-2260
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114436219
1935 ALABAMA HIGHWAY 157 SUITE C
Cullman, AL 35058
(256) 297-3030
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1629093638
117 2ND AVE SE
Cullman, AL 35055
(256) 291-8877
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1780450742
117 2ND AVE SE
Cullman, AL 35055
(256) 291-8877
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1760071328
101 WESTOVER CIR
Madison, AL 35758
(256) 461-0209
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1447634019
24 COUNTY ROAD 262
Hanceville, AL 35077
(256) 781-0718
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1710576905
1912 AL HIGHWAY 157
Cullman, AL 35058
(256) 737-2682
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1891446902
8344 PLEASANT GROVE RD
Albertville, AL 35950
(256) 660-1714
✔ PECOS✔ Accepts Medicare36 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 01D2284924

Cedar Street Medical Associates · Hartselle, AL
Active · expires Jun 29, 2027
CLIA Number01D2284924
Laboratory TypePhysician Office
Certificate Effective DateJune 30, 2025
Certificate Expiration DateJune 29, 2027
Laboratory DirectorMs. Lori A. Henry
Laboratory Phone(256) 773-2260
Laboratory LocationCedar Street Medical Associates220 Cedar Street NW, Hartselle, AL 35640
CLIA data matches this NPI record on: Address 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 Cedar Street Medical Associates's NPI number?

The NPI number for Cedar Street Medical Associates is 1780376970. It was assigned to this organization in the NPPES registry on May 24, 2023. The provider is doing business as Cedar Street Medical.

Where is Cedar Street Medical Associates located?

Cedar Street Medical Associates is located at 220 Cedar St NW, Hartselle, AL 35640. The listed phone number is (256) 773-2260.

What is Cedar Street Medical Associates's specialty?

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

Is Cedar Street Medical Associates enrolled in Medicare?

Yes. Cedar Street Medical Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cedar Street Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Cedar Street Medical Associates. 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) and Family Practice (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cedar Street Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2284924) is associated with this NPI, valid through June 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedar Street Medical Associates was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.