POARCH CREEK INDIAN HEALTH DEPARTMENT
NPI 1902916489
Clinic/Center - Federally Qualified Health Center (FQHC) in Atmore, AL
About Poarch Creek Indian Health Department NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POARCH CREEK INDIAN HEALTH DEPARTMENT (NPI 1902916489) is a healthcare organization registered as a federally qualified health center (fqhc) in Atmore, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2028 and lists Teresa Smith, Business Office Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Poarch Creek Indian Health Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Poarch Creek Indian Health Department, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 31Source: 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 01D0671486
Poarch Creek Indian Health Dept Laboratory · Atmore, 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 Poarch Band Of Creek Indians's NPI number?
The NPI number for Poarch Band Of Creek Indians is 1902916489. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Poarch Creek Indian Health Department.
Where is Poarch Band Of Creek Indians located?
Poarch Band Of Creek Indians is located at 429 Buford L Rolin Dr, Atmore, AL 36502. The listed phone number is (251) 368-9136.
What is Poarch Band Of Creek Indians's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Poarch Band Of Creek Indians enrolled in Medicare?
Yes. Poarch Band Of Creek Indians is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Poarch Band Of Creek Indians?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 14 Medicare specialties reassign their Medicare billing to Poarch Band Of Creek Indians. 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 Family Practice (8), Dentist (3) and Nurse Practitioner (3). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Poarch Band Of Creek Indians hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0671486) is associated with this NPI, valid through September 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Poarch Band Of Creek Indians was last updated on May 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Poarch Creek Indian Health Department · NPI 1902916489
Federally Qualified Health Center (FQHC) organization in Atmore, Alabama. Organization record, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1902916489 (Entity type: Organization)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Poarch Band Of Creek Indians
- **Organization subpart:** No
- **Authorized official:** Teresa Smith, BUSINESS OFFICE DIRECTOR
## Practice location
- **Address:** 429 BUFORD L ROLIN DR, Atmore, AL 36502-5186
- **Phone:** (251) 368-9136
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (8), Dentist (3), Nurse Practitioner (3); 2 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1902916489/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2017
- **Other identifiers:** Other 0130574; Medicaid 630000019 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902916489) · Data from the CMS NPPES public registry.