MED-PLUS MUSCLE SHOALS LLC – Family Medicine Physician, NPI 1730165705

MED-PLUS MUSCLE SHOALS LLC is a healthcare provider. based in Muscle shoals, Alabama. specializing in Family Medicine Physician. The NPI Number for MED-PLUS MUSCLE SHOALS LLC is 1730165705

Main info

Organization
Name
MED-PLUS MUSCLE SHOALS LLC
NPI
1730165705
Phone
(256) 389-9300
Address
108 AVALON AVE
Authorized Official
KATHY J TEAGUE SECRETARY
Enumeration Date
21 December 2005
Last Update Date
21 January 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for MED-PLUS MUSCLE SHOALS LLC

  • 108, Avalon Avenue, Muscle Shoals, Colbert County, Alabama, 35661, United States

    MUSCLE SHOALS, AL 356612800

    Phone: (256) 389-9300

    Fax: (256) 389-9367

    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: 2005-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (219 days ago).

Enrollment records

1

Earliest due date

2025-10-31

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
O20051129000677OClinic/Group PracticeAL2025-10-31

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.

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 35661)

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Reviews

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Frequently asked questions

How is MED-PLUS MUSCLE SHOALS LLC identified in CMS data?
CMS-hosted NPPES data lists MED-PLUS MUSCLE SHOALS LLC with NPI 1730165705.
Is MED-PLUS MUSCLE SHOALS LLC listed as active for patients and plans?
The listing shows MED-PLUS MUSCLE SHOALS LLC as active in the NPI system.
What is MED-PLUS MUSCLE SHOALS LLC's specialty?
The listing groups MED-PLUS MUSCLE SHOALS LLC with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MED-PLUS MUSCLE SHOALS LLC?
MED-PLUS MUSCLE SHOALS LLC's geographic hint is Muscle Shoals, Alabama in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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