VALLEY HEAD CLINIC LLC
NPI 1790004836
Clinic/Center in Fort Payne, AL
About Valley Head Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY HEAD CLINIC LLC (NPI 1790004836) is a healthcare organization registered as a clinic/center in Fort Payne, Alabama and active in the NPI registry since May 2010. The organization lists Muhammad Ejaz Ata, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valley Head Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Valley Head Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (13)
Pisgah, AL 35765
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 Valley Head Clinic LLC's NPI number?
The NPI number for Valley Head Clinic LLC is 1790004836. It was assigned to this organization in the NPPES registry on May 28, 2010.
Where is Valley Head Clinic LLC located?
Valley Head Clinic LLC is located at 205 Grand Ave NW Ste B, Fort Payne, AL 35967. The listed phone number is (256) 979-1515.
What is Valley Head Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Valley Head Clinic LLC enrolled in Medicare?
Yes. Valley Head Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Valley Head Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Valley Head 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), Cardiovascular Disease (Cardiology) (2) and Pediatric Medicine (2). Of these, 2 practice at this address and 4 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 Valley Head Clinic LLC was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Valley Head Clinic Llc · NPI 1790004836
Clinic/Center organization in Fort Payne, Alabama. Organization record, active in the CMS NPPES registry since May 28, 2010.
## Identity
- **NPI:** 1790004836 (Entity type: Organization)
- **Enumerated:** May 28, 2010
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Muhammad Ata, OWNER
## Practice location
- **Address:** 205 GRAND AVE NW, STE B, Fort Payne, AL 35967-2107
- **Phone:** (256) 979-1515 · **Fax:** (256) 979-1517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Cardiovascular Disease (Cardiology) (2), Pediatric Medicine (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1790004836) · Data from the CMS NPPES public registry.