1. Home
  2. Directory
  3. Alabama
  4. Cordova
  5. Family Medicine
  6. NPI Profile

CORDOVA FAMILY CARE LLC
NPI 1780567610
Family Medicine in Cordova, AL

Active since July 29, 2025CLIA 01D2330550 · Certificate of Compliance
20 BREWER ST, CORDOVA, AL 35550(205) 740-7070(205) 740-5407 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cordova Family Care Llc NPPES

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

CORDOVA FAMILY CARE LLC (NPI 1780567610) is a healthcare organization registered as a family medicine in Cordova, Alabama and active in the NPI registry since July 2025. The organization holds a CLIA Certificate of Compliance certificate valid through September 17, 2027 and lists Autumn Mummey, Owner, as its authorized official.

NPPES Registry Identity

NPI1780567610
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCORDOVA FAMILY CARE LLC
Location Address20 BREWER STCordova, AL 35550-1256
Mailing AddressPo Box 330Cordova, AL 35550-0330 · (205) 740-7070
Phone(205) 740-7070
Fax(205) 740-5407
Organization SubpartNo
Authorized OfficialAutumn MummeyOwner · (205) 740-7070
Enumeration DateJuly 29, 2025
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1780567610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
20 BREWER ST, Cordova, AL 35550
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Cordova Family Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Felicia Branham, CRNP
Nurse Practitioner
NPI 1861152977
20 BREWER ST
Cordova, AL 35550
(205) 740-7070
✔ PECOS✔ Accepts MedicareSame address
Katie Braden, CRNP
Nurse Practitioner
NPI 1407407224
27 MIDWAY PLZ STE B
Dora, AL 35062
(205) 255-7052
✔ PECOS✔ Accepts Medicare7.6 mi
Linda Alvis, CRNP
Nurse Practitioner
NPI 1659822625
6610 CURRY HWY
Jasper, AL 35503
(205) 878-4800
✔ PECOS✔ Accepts Medicare14 mi
Autumn Mummey, CRNP
Nurse Practitioner
NPI 1376000828
6610 CURRY HWY
Jasper, AL 35503
(205) 878-4800
✔ PECOS✔ Accepts Medicare14 mi
Clifton Scott, MD
Family Practice
NPI 1407205156
2520 5TH ST N
Columbus, MS 39705
(662) 244-1000
✔ PECOS✔ Accepts Medicare74 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 Compliance 01D2330550

Cordova Family Care LLC · Cordova, AL
Active · expires Sep 17, 2027
CLIA Number01D2330550
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorJonathan Robertson
Laboratory Phone(205) 740-7070
Laboratory LocationCordova Family Care LLC20 Brewer Street, Cordova, AL 35550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Cordova Family Care LLC's NPI number?

The NPI number for Cordova Family Care LLC is 1780567610. It was assigned to this organization in the NPPES registry on July 29, 2025.

Where is Cordova Family Care LLC located?

Cordova Family Care LLC is located at 20 Brewer St, Cordova, AL 35550. The listed phone number is (205) 740-7070.

What is Cordova Family Care LLC's specialty?

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

Is Cordova Family Care LLC enrolled in Medicare?

Yes. Cordova Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cordova Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Cordova Family Care 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 (4) and Family Practice (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cordova Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D2330550) is associated with this NPI, valid through September 17, 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 Cordova Family Care LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.