ROGERSVILLE FAMILY CARE
NPI 1801221700
Family Medicine in Rogersville, AL

Active since September 10, 2013CLIA 01D0679741 · Waiver
16053 HIGHWAY 72, ROGERSVILLE, AL 35652(256) 247-0093(256) 247-5289 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2024, Feb 22, 2017, Feb 5, 2016 (3 updates tracked since 2016).

About Rogersville Family Care NPPES

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

ROGERSVILLE FAMILY CARE (NPI 1801221700) is a healthcare organization registered as a family medicine in Rogersville, Alabama and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Sebrina B Holt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801221700
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROGERSVILLE FAMILY CARE
Location Address16053 HIGHWAY 72Rogersville, AL 35652-8141
Mailing AddressPo Box 401Rogersville, AL 35652-0401 · (256) 247-0093 · Fax (256) 262-2160
Fax(256) 247-5289
Organization SubpartNo
Authorized OfficialSebrina B HoltExecutive Director · (256) 216-9648
Enumeration DateSeptember 10, 2013
Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1801221700 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.
16053 HIGHWAY 72, Rogersville, AL 35652

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20131030001208Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rogersville Family Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1639847650
16053 HIGHWAY 72
Rogersville, AL 35652
(256) 262-6060
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1346711082
16023 HIGHWAY 72
Rogersville, AL 35652
(256) 247-0093
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1801152178
301 GOVERNORS DR SW
Huntsville, AL 35801
(256) 536-5511
✔ PECOS✔ Accepts Medicare41 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 01D0679741

Rogersville Family Care · Rogersville, AL
Active · expires Apr 10, 2028
CLIA Number01D0679741
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDr. Samantha T. Ross
Laboratory Phone(256) 247-0093
Laboratory LocationRogersville Family CareP O Box 401, Rogersville, AL 35652
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 Rogersville Family Care's NPI number?

The NPI number for Rogersville Family Care is 1801221700. It was assigned to this organization in the NPPES registry on September 10, 2013.

Where is Rogersville Family Care located?

Rogersville Family Care is located at 16053 Highway 72, Rogersville, AL 35652. The listed phone number is (256) 247-0093.

What is Rogersville Family Care's specialty?

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

Is Rogersville Family Care enrolled in Medicare?

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

When is Rogersville Family Care's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rogersville Family Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rogersville Family Care, 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rogersville Family Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0679741) is associated with this NPI, valid through April 10, 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 Rogersville Family Care was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.