MADISON PRIMARY CARE
NPI 1881993210
Family Medicine in Madison, AL
About Madison Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON PRIMARY CARE (NPI 1881993210) is a healthcare organization registered as a family medicine in Madison, Alabama and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Adeel Bodla, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Madison Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Madison Primary Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 01D2021281
Madison Primary Care LLC · Madison, 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 Madison Primary Care LLC's NPI number?
The NPI number for Madison Primary Care LLC is 1881993210. It was assigned to this organization in the NPPES registry on March 24, 2011. The provider is doing business as Madison Primary Care.
Where is Madison Primary Care LLC located?
Madison Primary Care LLC is located at 400 Sun Temple Dr, Madison, AL 35758. The listed phone number is (256) 774-5524.
What is Madison Primary Care LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Madison Primary Care LLC enrolled in Medicare?
Yes. Madison Primary Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Madison Primary Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Madison 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. The largest specialties are Nurse Practitioner (6) and Family Practice (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Madison Primary Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2021281) is associated with this NPI, valid through March 9, 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 Madison Primary Care LLC was last updated on August 1, 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.
# Madison Primary Care · NPI 1881993210
Family Medicine organization in Madison, Alabama. Organization record, active in the CMS NPPES registry since March 24, 2011.
## Identity
- **NPI:** 1881993210 (Entity type: Organization)
- **Enumerated:** March 24, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Madison Primary Care Llc
- **Organization subpart:** No
- **Authorized official:** Adeel Bodla, PHYSICIAN
## Practice location
- **Address:** 400 SUN TEMPLE DR, Madison, AL 35758-5924
- **Phone:** (256) 774-5524 · **Fax:** (256) 774-5523
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2023
- **Other identifiers:** Medicaid PENDING (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881993210) · Data from the CMS NPPES public registry.