CHILDERSBURG PRIMARY CARE
NPI 1952484081
Family Medicine in Childersburg, AL

Active since October 23, 2006CLIA 01D0700623 · Certificate of Compliance
34011 HIGHWAY 280 EAST, CHILDERSBURG, AL 35044(256) 378-3313(256) 378-3315 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Childersburg Primary Care NPPES

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

CHILDERSBURG PRIMARY CARE (NPI 1952484081) is a healthcare organization registered as a family medicine in Childersburg, Alabama and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 27, 2027 and lists Mike Bice, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952484081
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANAGEMENT AND MEDICAL SERVICES, LLC
Location Address34011 HIGHWAY 280 EASTChildersburg, AL 35044
Mailing Address34011 Highway 280 EastChildersburg, AL 35044 · (256) 378-3313 · Fax (256) 378-3315
Fax(256) 378-3315
Organization SubpartNo
Authorized OfficialMike BiceAdministrator · (256) 378-3313
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1952484081 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.
34011 HIGHWAY 280 EAST, Childersburg, AL 35044

Other Names 1

Doing Business AsChildersburg Primary Care

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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Childersburg Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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 IDO20040127001203Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Childersburg Primary Care, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1770336216
33637 US HIGHWAY 280
Childersburg, AL 35044
(256) 378-3313
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1467072926
33637 US HIGHWAY 280
Childersburg, AL 35044
(256) 378-3313
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1811430473
34011 US HIGHWAY 280
Childersburg, AL 35044
(256) 378-3313
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1609947993
34011 US HIGHWAY 280 SUITE A
Childersburg, AL 35044
(256) 378-3313
✔ PECOS✔ Accepts Medicare1.3 mi
Internal Medicine
NPI 1801804703
2018 BROOKWOOD MEDICAL CENTER DR PROFESSIONAL OFFICE BUILDING STE 209
Birmingham, AL 35209
(205) 877-2193
✔ PECOS✔ Accepts Medicare27 mi

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 Compliance 01D0700623

Childersburg Primary Care · Childersburg, AL
Active · expires Apr 27, 2027
CLIA Number01D0700623
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorJarod E. Speer
Laboratory Phone(256) 378-3313
Laboratory LocationChildersburg Primary Care33637 Us Hwy 280, Childersburg, AL 35044
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Management And Medical Services, LLC's NPI number?

The NPI number for Management And Medical Services, LLC is 1952484081. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Childersburg Primary Care.

Where is Management And Medical Services, LLC located?

Management And Medical Services, LLC is located at 34011 Highway 280 East, Childersburg, AL 35044. The listed phone number is (256) 378-3313.

What is Management And Medical Services, LLC's specialty?

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

Is Management And Medical Services, LLC enrolled in Medicare?

Yes. Management And Medical Services, LLC is registered in the Medicare PECOS enrollment system.

When is Management And Medical Services, 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 January 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 Management And Medical Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Management And Medical Services, 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 Family Practice (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Management And Medical Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0700623) is associated with this NPI, valid through April 27, 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 Management And Medical Services, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.