Synergy Wellness – General Practice Physician, NPI 1912467309
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Synergy Wellness
Memorial Parkway Northwest, Terry Heights, Huntsville, Madison County, Alabama, 35810:35816, United States
HUNTSVILLE, AL 358102424
Phone: (615) 293-5790
Type: Mailing
7105B Bailey Creek Cir SE
Huntsville, AL 358022797
Phone: (256) 763-4154
Type: Location
4820 UNIVERSITY DR NW STE 35
HUNTSVILLE, AL 358161824
Phone: (256) 759-9167
Fax: (256) 489-3191
Type: Mailing
7105B BAILEY CREEK CIR SE
HUNTSVILLE, AL 358022797
Phone: (256) 759-9167
Type: Mailing
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: 2020-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (257 days ago).
Enrollment records
1
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20200131000497 | O | Clinic/Group Practice | AL | 2025-09-30 |
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 35810)
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