CHEAHA ADULT AND PEDIATRIC MEDICINE – Primary Care Clinic/Center, NPI 1972278232
Primary Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CHEAHA ADULT AND PEDIATRIC MEDICINE
1401 GLENWOOD TER
ANNISTON, AL 362075815
Phone: (770) 328-6140
Type: Mailing
6081 SHANNON BROOK LN
OXFORD, AL 362033369
Phone: (256) 515-4494
Type: Mailing
1416 GOLDEN SPRINGS RD
ANNISTON, AL 362076924
Phone: (256) 515-4494
Fax: (256) 515-4496
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: 2021-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (114 days away).
Enrollment records
1
Earliest due date
2026-09-30
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 |
|---|---|---|---|---|
| O20210920001724 | O | Clinic/Group Practice | AL | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 36207)
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