GENESISCARE USA OF ALABAMA LLC
NPI 1831385632
Radiology - Radiation Oncology in Dothan, AL

Active since September 15, 2007
4274 W MAIN ST, DOTHAN, AL 36305(334) 793-2312(334) 671-0484 Get Directions Write a Review

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

Record update history: Apr 11, 2023, Jan 27, 2023, Jan 13, 2023 and 2 more (5 updates tracked since 2019).

About Genesiscare Usa Of Alabama Llc NPPES

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

GENESISCARE USA OF ALABAMA LLC (NPI 1831385632) is a healthcare organization registered as a radiation oncology in Dothan, Alabama and active in the NPI registry since September 2007. The organization lists Shaden Marzouk, President, as its authorized official.

NPPES Registry Identity

NPI1831385632
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameGENESISCARE USA OF ALABAMA LLC
Location Address4274 W MAIN STDothan, AL 36305-1062
Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342 · Fax (239) 931-7385
Fax(334) 671-0484
Organization SubpartNo
Authorized OfficialShaden MarzoukPresident · (239) 931-7254
Enumeration DateSeptember 15, 2007
Last NPPES UpdateSeptember 25, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
✔ NPI 1831385632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4274 W MAIN ST, Dothan, AL 36305

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)

Genesiscare Usa Of Alabama Llc 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 IDO20080304000682Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Genesiscare Usa Of Alabama LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1801494661
4274 W MAIN ST
Dothan, AL 36305
(334) 793-2312
✔ PECOS8.0 mi
Radiation Oncology
NPI 1174746168
4274 W MAIN ST
Dothan, AL 36305
(334) 793-2312
✔ PECOS✔ Accepts Medicare8.0 mi

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 Genesiscare Usa Of Alabama LLC's NPI number?

The NPI number for Genesiscare Usa Of Alabama LLC is 1831385632. It was assigned to this organization in the NPPES registry on September 15, 2007.

Where is Genesiscare Usa Of Alabama LLC located?

Genesiscare Usa Of Alabama LLC is located at 4274 W Main St, Dothan, AL 36305. The listed phone number is (334) 793-2312.

What is Genesiscare Usa Of Alabama LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Genesiscare Usa Of Alabama LLC enrolled in Medicare?

Yes. Genesiscare Usa Of Alabama LLC is registered in the Medicare PECOS enrollment system.

When is Genesiscare Usa Of Alabama LLC'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 Genesiscare Usa Of Alabama LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Genesiscare Usa Of Alabama LLC, in Nurse Practitioner and Radiation Oncology. 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.

When was this NPI record last updated?

The NPPES record for Genesiscare Usa Of Alabama LLC was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.