NPIMap

Organization Active NPI

ENT Center of Northwest Alabama, LLC

  • Otolaryngology Physician
  • Florence, AL
National Provider Identifier
1013577634
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ENT CENTER OF NORTHWEST ALABAMA, LLC
Practice address
210 Seville St
Florence, AL 35630-1587
Phone
(256) 415-8100
Fax
(256) 415-8178
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Caleb Gerald Masterson, DONPI 1487073649
Title
President
Phone
(417) 986-6734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

210 Seville St
Florence, AL 35630-1587

Mailing address

210 Seville St
Florence, AL 35630-1587
Phone (256) 415-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190924002597 AL Part B Supplier - Clinic/Group Practice 1850621418 Receives reassigned benefits from 7 practitioners
Practice locations: Florence, AL; Winfield, AL
O20220225000697 TN Part B Supplier - Clinic/Group Practice 1850621418 Receives reassigned benefits from 2 practitioners
Practice locations: Lawrenceburg, TN

National Provider Directory

National Provider Directory

Locations

210 Seville St
Florence, AL 35630
Phone (256) 415-8100

210 Seville St
Ste 210B
Florence, AL 35630

1213 W Gaines St
Lawrenceburg, TN 38464
Phone (256) 242-8990

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1013577634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SEVILLE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301587",
            "telephone_number": "256-415-8100",
            "fax_number": "256-415-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SEVILLE ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301587",
            "telephone_number": "256-415-8100",
            "fax_number": "256-415-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT CENTER OF NORTHWEST ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-986-6734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.