AUTAUGA MEDICAL CLINIC LLC
NPI 1821396482
Family Medicine in Autaugaville, AL

Active since March 07, 2011
201 S WASHINGTON ST STE A, AUTAUGAVILLE, AL 36003(334) 361-9979(334) 361-7858 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Autauga Medical Clinic Llc NPPES

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

AUTAUGA MEDICAL CLINIC LLC (NPI 1821396482) is a healthcare organization registered as a family medicine in Autaugaville, Alabama and active in the NPI registry since March 2011. The organization lists James G Faulk, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821396482
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAUTAUGA MEDICAL CLINIC LLC
Location Address201 S WASHINGTON ST STE AAutaugaville, AL 36003-2535
Mailing AddressPo Box 490Autaugaville, AL 36003-0490 · (334) 361-9979 · Fax (334) 361-7858
Fax(334) 361-7858
Organization SubpartNo
Authorized OfficialJames G FaulkCeo · (334) 361-9979
Enumeration DateMarch 7, 2011
Last NPPES UpdateApril 20, 2011
✔ NPI 1821396482 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.
201 S WASHINGTON ST STE A, Autaugaville, AL 36003

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Autauga Medical Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1437365012
201 SOUTH WASHINGTON STREET
Autaugaville, AL 36003
(334) 361-9979
✔ PECOS✔ Accepts MedicareSame address

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 Autauga Medical Clinic LLC's NPI number?

The NPI number for Autauga Medical Clinic LLC is 1821396482. It was assigned to this organization in the NPPES registry on March 7, 2011.

Where is Autauga Medical Clinic LLC located?

Autauga Medical Clinic LLC is located at 201 S Washington St Ste A, Autaugaville, AL 36003. The listed phone number is (334) 361-9979.

What is Autauga Medical Clinic LLC's specialty?

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

Is Autauga Medical Clinic LLC enrolled in Medicare?

Yes. Autauga Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Autauga Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Autauga Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Autauga Medical Clinic LLC was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.