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CLIO HEALTH CLINIC LLC
NPI 1801503297
Nurse Practitioner in Clio, AL

Active since November 03, 2022CLIA 01D2275980 · Waiver
1203 BLUE SPRINGS ST, CLIO, AL 36017(334) 490-1200(334) 780-1070 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clio Health Clinic Llc NPPES

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

CLIO HEALTH CLINIC LLC (NPI 1801503297) is a healthcare organization registered as a nurse practitioner in Clio, Alabama and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Ursula S Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801503297
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCLIO HEALTH CLINIC LLC
Location Address1203 BLUE SPRINGS STClio, AL 36017-2523
Mailing Address1203 Blue Springs StClio, AL 36017-2523 · (334) 490-1200 · Fax (334) 780-1070
Phone(334) 490-1200
Fax(334) 780-1070
Organization SubpartNo
Authorized OfficialUrsula S WilsonCeo · (334) 490-1200
Enumeration DateNovember 3, 2022
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1801503297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1203 BLUE SPRINGS ST, Clio, AL 36017
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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 MULTIPLE SINGLE 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)

Clio Health Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clio Health Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ursula Wilson, FNP
Nurse Practitioner
NPI 1518116581
1203 BLUE SPRINGS ST
Clio, AL 36017
(334) 490-1200
✔ PECOS✔ Accepts MedicareSame address
Thomas Brown, M.D.
Hematology/Oncology
NPI 1609976612
1340 HIGHWAY 231 S STE 6
Troy, AL 36081
(334) 670-5475
✔ PECOS✔ Accepts Medicare20 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 01D2275980

Clio Health Clinic LLC · Clio, AL
Active · expires Jan 30, 2027
CLIA Number01D2275980
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorUrsula S. Wilson
Laboratory Phone(334) 798-9077
Laboratory LocationClio Health Clinic LLC1203 Blue Springs Street, Clio, AL 36017
CLIA data matches this NPI record on: Address Name
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 Clio Health Clinic LLC's NPI number?

The NPI number for Clio Health Clinic LLC is 1801503297. It was assigned to this organization in the NPPES registry on November 3, 2022.

Where is Clio Health Clinic LLC located?

Clio Health Clinic LLC is located at 1203 Blue Springs St, Clio, AL 36017. The listed phone number is (334) 490-1200.

What is Clio Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Clio Health Clinic LLC enrolled in Medicare?

Yes. Clio Health Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clio Health Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clio Health Clinic LLC, in Hematology/Oncology 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clio Health Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2275980) is associated with this NPI, valid through January 30, 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 Clio Health Clinic LLC was last updated on December 27, 2023. 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.