CRADDOCK HEALTH CENTER P C – Internal Medicine Physician, NPI 1184669483

CRADDOCK HEALTH CENTER P C is a healthcare provider. based in Sylacauga, Alabama. specializing in Internal Medicine Physician. The NPI Number for CRADDOCK HEALTH CENTER P C is 1184669483

Main info

Organization
Name
CRADDOCK HEALTH CENTER P C
NPI
1184669483
Phone
(256) 245-5241
Address
209 W SPRING ST
Authorized Official
MRS. DONNA B HERNANDEZ OFFICE MANAGER
Enumeration Date
19 June 2006
Last Update Date
7 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for CRADDOCK HEALTH CENTER P C

  • 209, West Spring Street, Sylacauga, Talladega County, Alabama, 35150, United States

    SUITE 200

    SYLACAUGA, AL 351502973

    Phone: (256) 245-5241

    Fax: (256) 245-0194

    Mailing address matches the actual address.

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: 2005-10-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20051024000652OClinic/Group PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 35150)

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Reviews

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Frequently asked questions

What unique ID ties claims to CRADDOCK HEALTH CENTER P C?
NPI 1184669483 is assigned to CRADDOCK HEALTH CENTER P C under the national enumeration system.
Is CRADDOCK HEALTH CENTER P C currently active in the NPI registry?
CMS-published data lists CRADDOCK HEALTH CENTER P C as an active registrant.
What field does CRADDOCK HEALTH CENTER P C work in?
You can think of CRADDOCK HEALTH CENTER P C as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is CRADDOCK HEALTH CENTER P C's primary listing?
We display Sylacauga, Alabama because that is what the record indicates for CRADDOCK HEALTH CENTER P C.
Is CRADDOCK HEALTH CENTER P C a real provider?
This page reflects official NPPES data for NPI 1184669483. Always confirm identity and privileges with the practice and licensing boards.

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