Aderholt Medical, LLC
Organization Active NPI Family Medicine Physician · Athens, AL
NPI 1164023529 · NPPES record last updated Mar 26, 2026
Key facts
- NPI
- 1164023529
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADERHOLT MEDICAL, LLC
- Practice address
- 111 S Marion St Ste B
Athens, AL 35611-2552 - Phone
- (256) 230-5280
- Fax
- (256) 427-4117
- NPI assigned
- Nov 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Brady Eric Aderholt, NP
- Title
- Owner
- Phone
- (256) 777-1278
Practitioners 9
-
Evangeleine Helene Bates, NURSE PRACTITIONER
-
Zachary Andrew Curtis, CRNP
-
Charles Lee Gray Jr., FNP-BC
-
Brady Aderholt, CRNP
-
Buffy Gray, NP
-
Scott Buckner, M.D.
-
Amy C Kerley, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210503000414 | AL | Part B Supplier - Clinic/Group Practice | 3577972611 |
Receives reassigned benefits from 8 practitioners Practice locations: Athens, AL |
National Provider Directory
Locations
320 US Highway 31 N
Athens, AL 35611
1207 E Forrest St
Ste 204D
Athens, AL 35613
Phone (256) 230-5280
1207 E Forrest St
#204D
Athens, AL 35613
111 S Marion St
Ste B
Athens, AL 35611
Phone (256) 230-5280
111 S Marion St
Athens, AL 35611
Phone (256) 230-5280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
111 S Marion St Ste B
Athens, AL 35611-2552
Mailing address
111 S Marion St Ste B
Athens, AL 35611-2552
Phone (256) 230-5280
Other providers in Athens, AL
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- Holly Suzanne Adams
- Randall Lunsford Adams
- Brady Aderholt
- Advanced Wound Care Center
- Advantage Dental Oral Health and Vision Center of Alabama, P.C.
- Advantage Dental Oral Health and Vision Center of Alabama, P.C.
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All providers in Athens, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.