DR. WILLIAM DOUGLAS JR. TALLEY (M.D.) – General Practice Physician, NPI 1053523456
General Practice Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
Provider Addresses for DR. WILLIAM DOUGLAS JR. TALLEY (M.D.)
9511 US HIGHWAY 431
ALBERTVILLE, AL 359500128
Phone: (256) 891-7001
Type: Location
1304 13TH AVE SE
DECATUR, AL 356014359
Phone: (256) 340-1251
Fax: (256) 353-6723
Type: Location
801, Oak Street, Eastwood, Oneonta, Blount County, Alabama, 35121, United States
ONEONTA, AL 351211929
Phone: (850) 461-2614
Type: Mailing
1023 HIGHWAY 13
HALEYVILLE, AL 355651638
Phone: (334) 452-5533
Type: Mailing
500 HOSPITAL DR
WETUMPKA, AL 360921625
Phone: (334) 567-4311
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (888 days ago).
Enrollment records
1
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121219000442 | I | Family Practice | AL | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35950)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Practice | MS | |
| - | MS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| Internal Medicine, Pediatric Medicine | MS | |
| Nurse Practitioner | AL | |
| - | MS |
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