Floyd Cherokee Medical Center LLC
Organization Active NPI Rural Health Clinic/Center · Centre, AL
NPI 1003430893 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1003430893
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- FLOYD CHEROKEE MEDICAL CENTER LLC
- Practice address
- 391 Northwood Dr
Centre, AL 35960-1020 - Phone
- (256) 927-7412
- NPI assigned
- Jun 8, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- FLOYD CHEROKEE MEDICAL CENTER, LLC
Authorized official
- Name
- Kurt Stuenkel
- Title
- Ceo
- Phone
- (706) 509-5000
Owners & managing parties with NPI records 10
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 1
Member of 3
Related certifications (CCN) 1
Facilities with the same owner 94
Practitioners 13
-
Piper Pearce, MSN, APRN, CRNP-C
-
Loren Bass, CRNP
-
Emily Beth Oliver, CRNP
-
Lori Patricia Bain, NP-C
-
Kim Carlos Farmer, FNP
-
Farrah Gardner, NP
-
Patrick Jay Lynn, MD
-
Kathleen A Duryea, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1038115 | Floyd Cherokee Medical Center Rural Health Clinic | Certificate of waiver | Jul 31, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
Rural health clinic certification: CCN 013494
- Legal name
- FLOYD CHEROKEE MEDICAL CENTER LLC
- Doing business as
- ATRIUM HEALTH FLOYD CHEROKEE MEDICAL CENTER RURAL HEALTH CLINIC CENTRE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Dec 29, 2020
- Last certification
- Dec 29, 2020
- Ownership / control type
- 2B
- Organization structure
- LLC · Non-profit
- Enrollment address
- 391 Northwood Dr
Centre, AL 35960-1020 - Related CCNs
- 010022
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| John E Ellis |
Corporate Director |
Jul 28, 2022 | |
| Chad Hopper |
Corporate Officer |
Jun 1, 2018 | |
| Corporate Director |
Jun 1, 2018 | ||
| Ah Georgia Inc |
5% Or Greater Indirect Ownership Interest | Jul 14, 2021 | 100% |
| Kay Chumbler |
Corporate Officer |
Jun 1, 2018 | |
| Corporate Director |
Jun 1, 2018 | ||
| The Charlotte-Mecklenburg Hospital Authority |
5% Or Greater Indirect Ownership Interest | Jul 14, 2021 | 100% |
| James Howell |
Corporate Director |
Jun 1, 2018 | |
| Johna M Lindsey |
Corporate Director |
Jun 1, 2018 | |
| Mathew D Gorman |
Corporate Director |
Jul 28, 2022 | |
| Floyd Healthcare Management Inc |
5% Or Greater Direct Ownership Interest | Jul 1, 2020 | 100% |
| Tifani Kinard |
Corporate Director |
Jun 1, 2022 | |
| W-2 Managing Employee |
Aug 1, 2022 | ||
| Atrium Health Inc |
Operational/Managerial Control | Jul 14, 2021 | |
| Advocate Health Inc |
Operational/Managerial Control | Dec 2, 2022 | |
| Kurt Matthew Stuenkel |
Corporate Officer |
Jun 1, 2018 | |
| Carl J. Herring |
Corporate Director |
Jul 25, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180810002557 | AL | Part B Supplier - Clinic/Group Practice | 4880949775 |
Receives reassigned benefits from 11 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Centre, AL; Piedmont, AL |
| O20200709002205 | AL | Part a Provider - Rural Health Clinic | 4880949775 | Practice locations: Centre, AL |
National Provider Directory
- Tax ID family
- Floyd Cherokee Medical Center LLC
- Part of
- Floyd Cherokee Medical Center LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
391 Northwood Dr
Centre, AL 35960-1020
Mailing address
420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000
Other names
- Atrium Health Floyd Cherokee Medical Center Rural Health Clinic Centre
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Centre, AL
- Alex Edge
- Essential Healthcare LLC
- Charity Elisabeth Evans
- Amanda Everett
- Rebecca Killian Everett
- Floyd Cherokee Medical Center LLC
- Floyd Cherokee Medical Center LLC
- Floyd Cherokee Medical Center LLC
- Focus Mental Health and Wellness LLC
- Cecily Evan Fontenot Abernathy
All providers in Centre, AL · Rural Health Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.