Individual provider Active NPI

Joseph Atkins Pettus IV, M.D.

  • Urology Physician
  • Huntsville, AL
National Provider Identifier
1083807333
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
30039 Issued in AL
Practice address
825 Adams St SE
Huntsville, AL 35801-3709
Phone
(256) 536-9020
Fax
(256) 536-9053
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 30039 AL Primary

Addresses

Primary practice location

825 Adams St SE
Huntsville, AL 35801-3709

Mailing address

PO Box 18428
Huntsville, AL 35804-8428
Phone (256) 705-4224

Other practice location 1

9238 Madison Blvd Ste 114
Madison, AL 35758-9112
Phone (256) 536-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000509 AL Practitioner - Urology 8123118528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Urology, PCGroup PAC ID 4183640642, 7 clinicians

Practice addresses (Care Compare)

825 Adams St SE
Huntsville, AL 35801-3709
Phone (256) 536-9020

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score
86.9 of 100Reported as group
Quality
90
Improvement activities
40
Cost
69.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30039ALMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Urology, PC Urology CurrentSince Jul 1, 2010 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Piedmont Stone Center PLLC Urology PastSince Jan 1, 1994 Accepting new patients
Madison Surgery Center, LLC PastSince Jul 1, 2010 Accepting new patients

Locations

825 Adams St SE
Huntsville, AL 35801
Phone (256) 536-9020

9238 Madison Blvd
Ste 114
Madison, AL 35758
Phone (252) 542-0220

Interoperability endpoints

  • Direct secure messaging: josephpettus@nalabamauro.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1083807333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18428",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048428",
            "telephone_number": "256-705-4224",
            "fax_number": "256-705-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 ADAMS ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013709",
            "telephone_number": "256-536-9020",
            "fax_number": "256-536-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9238 Madison Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589112",
            "country_code": "US",
            "telephone_number": "256-536-9020",
            "fax_number": "256-536-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTUS",
        "first_name": "JOSEPH",
        "middle_name": "ATKINS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "30039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.