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AUTAUGAVILLE FAMILY HEALTH CENTER
NPI 1992727853
Clinic/Center - Federally Qualified Health Center (FQHC) in Autaugaville, AL

Active since July 23, 2006CLIA 01D0996052 · Waiver
203 N TAYLOR ST, AUTAUGAVILLE, AL 36003(334) 365-4524(334) 365-8603 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Autaugaville Family Health Center NPPES

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

AUTAUGAVILLE FAMILY HEALTH CENTER (NPI 1992727853) is a healthcare organization registered as a federally qualified health center (fqhc) in Autaugaville, Alabama and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Susie Ann Beal, Cfo, as its authorized official.

NPPES Registry Identity

NPI1992727853
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHEALTH SERVICES INC
Location Address203 N TAYLOR STAutaugaville, AL 36003-2663
Mailing AddressPo Box 70365Montgomery, AL 36107-0365 · (334) 420-5038 · Fax (334) 420-0158
Phone(334) 365-4524
Fax(334) 365-8603
Organization SubpartYes
Authorized OfficialSusie Ann BealCfo · (334) 420-5001
Enumeration DateJuly 23, 2006
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1992727853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
203 N TAYLOR ST, Autaugaville, AL 36003
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Other Names 1

Doing Business AsAutaugaville Family Health Center

Other Identifiers 2

Medicaid630006009AL
Other01D0996052AL · Clia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autaugaville Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Autaugaville Family Health Center, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner14
Family Practice6
Dentist3
Pediatric Medicine3
Clinical Psychologist1
Internal Medicine1
Marriage and Family Therapist1
Optometry1
1 other specialty1

Nearest to this location (20)

See all 31
Freda Simmons, NP-C
Nurse Practitioner
NPI 1922469980
511 E TUSKEENA ST
Hayneville, AL 36040
(334) 548-2516
✔ PECOS✔ Accepts Medicare18 mi
George Thomas, MD
Family Practice
NPI 1972526614
100 OAK STREET
Hayneville, AL 36040
(334) 548-2516
✔ PECOS✔ Accepts Medicare18 mi
Juanita Hester
Nurse Practitioner
NPI 1225797293
300 TWINING ST # 760
Montgomery, AL 36112
(334) 953-5200
✔ PECOS✔ Accepts Medicare18 mi
Marshall Williams, DDS
Dentist
NPI 1649962937
3060 MOBILE HWY
Montgomery, AL 36108
(334) 293-6670
✔ PECOS19 mi
Vanessa Brown, CRNP
Nurse Practitioner
NPI 1346228871
3060 MOBILE HWY
Montgomery, AL 36108
(334) 293-6670
✔ PECOS✔ Accepts Medicare19 mi
Cynthia Crosby, CRNP
Nurse Practitioner
NPI 1538526603
3058 MOBILE HWY
Montgomery, AL 36108
(334) 293-6670
✔ PECOS✔ Accepts Medicare19 mi
Mahmood Zaied, MD
Pediatric Medicine
NPI 1932121894
1000 ADAMS AVE
Montgomery, AL 36104
(334) 263-2301
✔ PECOS✔ Accepts Medicare21 mi
Felicia Oji, DNP, CRNP
Nurse Practitioner
NPI 1063933620
100 E VANDIVER BLVD
Montgomery, AL 36110
(334) 832-4338
✔ PECOS✔ Accepts Medicare22 mi
Jamil Akhtar, MD
Internal Medicine
NPI 1245319144
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS✔ Accepts Medicare22 mi
Jeffery Ford, O.D.
Optometry
NPI 1598843476
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS✔ Accepts Medicare22 mi
Shabnam Guard, M.D.
Family Practice
NPI 1255594479
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS✔ Accepts Medicare22 mi
Jordana Kane, CRNP
Nurse Practitioner
NPI 1164097630
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS✔ Accepts Medicare22 mi
Rachel Kang, DMD
Dentist
NPI 1851926752
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS22 mi
Steven Omara, DO
Family Practice
NPI 1215972922
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS✔ Accepts Medicare22 mi
Coretta Pitters, CRNP
Nurse Practitioner
NPI 1356585947
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS22 mi
Abdulsattar Zidan, MD
Pediatric Medicine
NPI 1003072794
1845 CHERRY ST
Montgomery, AL 36107
(334) 420-5001
✔ PECOS22 mi
Nicole Sheffield, MD
Pediatric Medicine
NPI 1275506420
2895 ZELDA RD
Montgomery, AL 36106
(334) 277-5431
✔ PECOS23 mi
Joshua Newsome, CRNP
Nurse Practitioner
NPI 1932997749
100 PERRY HILL RD STE 575
Montgomery, AL 36109
(256) 470-3037
✔ PECOS24 mi
Tammie Mccurry, LMFT
Marriage and Family Therapist
NPI 1154187672
2261 CONG WL DICKINSON DR
Montgomery, AL 36109
(334) 593-2747
✔ PECOS✔ Accepts Medicare24 mi
Victor Theriault, MD
Family Practice
NPI 1396742318
2905 E SOUTH BLVD
Montgomery, AL 36116
(334) 420-5001
✔ PECOS✔ Accepts Medicare25 mi
See all 31 clinicians

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 01D0996052

Autaugaville Family Health Center · Autaugaville, AL
Active · expires Jan 13, 2028
CLIA Number01D0996052
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorGeorge G. Thomas
Laboratory Phone(334) 420-5001
Laboratory LocationAutaugaville Family Health Center203 North Taylor Street, Autaugaville, AL 36003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health Services Inc's NPI number?

The NPI number for Health Services Inc is 1992727853. It was assigned to this organization in the NPPES registry on July 23, 2006. The provider is doing business as Autaugaville Family Health Center.

Where is Health Services Inc located?

Health Services Inc is located at 203 N Taylor St, Autaugaville, AL 36003. The listed phone number is (334) 365-4524.

What is Health Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Health Services Inc enrolled in Medicare?

Yes. Health Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Health Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 9 Medicare specialties reassign their Medicare billing to Health Services Inc. 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 (14), Family Practice (6) and Dentist (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0996052) is associated with this NPI, valid through January 13, 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 Health Services Inc was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.