NORTH DEKALB PRIMARY CARE, LLC
NPI 1851898449
Family Medicine in Valley Head, AL
About North Dekalb Primary Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH DEKALB PRIMARY CARE, LLC (NPI 1851898449) is a healthcare organization registered as a family medicine in Valley Head, Alabama and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists John Moore, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Dekalb Primary Care, 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 North Dekalb Primary Care, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 01D2168162
North Dekalb Primary Care · Valley Head, ALFrequently 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 North Dekalb Primary Care, LLC's NPI number?
The NPI number for North Dekalb Primary Care, LLC is 1851898449. It was assigned to this organization in the NPPES registry on April 10, 2018.
Where is North Dekalb Primary Care, LLC located?
North Dekalb Primary Care, LLC is located at 136 Commerce Ave, Valley Head, AL 35989. The listed phone number is (256) 674-1052.
What is North Dekalb Primary Care, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is North Dekalb Primary Care, LLC enrolled in Medicare?
Yes. North Dekalb Primary Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Dekalb Primary Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to North Dekalb Primary Care, 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.
Does North Dekalb Primary Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2168162) is associated with this NPI, valid through March 29, 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 North Dekalb Primary Care, LLC was last updated on April 17, 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.
# North Dekalb Primary Care, Llc · NPI 1851898449
Family Medicine organization in Valley Head, Alabama. Organization record, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1851898449 (Entity type: Organization)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Moore, OWNER
## Practice location
- **Address:** 136 COMMERCE AVE, Valley Head, AL 35989
- **Phone:** (256) 674-1052 · **Fax:** (256) 674-1054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851898449) · Data from the CMS NPPES public registry.