Attentus Moulton, LLC
Organization Active NPI Rural Health Clinic/Center · Moulton, AL
NPI 1124062286 · NPPES record last updated Jul 25, 2019
Key facts
- NPI
- 1124062286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ATTENTUS MOULTON, LLC
- Practice address
- 10939 Al Highway 157
Moulton, AL 35650-1900 - Phone
- (256) 974-8440
- Fax
- (256) 974-6993
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dean Griffin
- Title
- Ceo
- Phone
- (256) 974-2286
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 2
Change of ownership 1
Practitioners 35
-
Misti Michelle Brown, CRNP
-
Kari Kirby, CRNP
-
Amanda Banks Lapradd, CRNP
-
Gini M Montgomery, CRNP
-
Earrace Morris, CRNP
-
Donald L Abele, MD
-
Kristen Holly Anderson, FNP-C
-
Dwight Stephen Blazier, CRNA
-
Earmon Wayne Bowman, CRNA
-
Darrel L. Cooper, CRNA
-
Haley Jordan Hazen, FNP
-
Hannah Kalyn Long, CRNP
-
Chad A McClain, CRNA
-
Zeke Nichols, MD
-
Jessica Ann Sharp, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Amedisys Home Health, a Lawrence Medical Center Partner |
Home health agency | 5% Or Greater Direct Ownership Interest (33.33%) | Feb 11, 2013 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| May 24, 2025 | Change of Ownership |
HH Health System - Morgan, LLC |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050517000324 | AL | Part B Supplier - Clinic/Group Practice | 6406895382 |
Receives reassigned benefits from 33 practitioners 7 other NPIs on this enrollment Practice locations: Courtland, AL; Moulton, AL |
National Provider Directory
- Tax ID family
- Attentus Moulton LLC
Locations
10939 AL Highway 157
Ste C
Moulton, AL 35650
Phone (256) 974-6550
10939 AL Highway 157
Moulton, AL 35650
Phone (256) 974-3390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
10939 Al Highway 157
Moulton, AL 35650-1900
Mailing address
10939 Al Highway 157
Moulton, AL 35650-1900
Phone (256) 974-8440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540003994 | Medicaid | AL |
Other names
- Lawrence Rural Health Clinic, Moulton/Lawrence Urgent Care Center
Other providers in Moulton, AL
- Thomas Hartwell Arnold
- Associated Chiropractic LLC
- Attentus Moulton LLC
- Attentus Moulton LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
- Attentus Moulton, LLC
All providers in Moulton, 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 Jul 25, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.