Organization Active NPI

Aderholt Medical, LLC

  • Family Medicine Physician
  • Athens, AL
National Provider Identifier
1164023529
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Brady Eric Aderholt, NPNPI 1306293618
Title
Owner
Phone
(256) 777-1278

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503000414 AL Part B Supplier - Clinic/Group Practice 3577972611 Receives reassigned benefits from 8 practitioners
Practice locations: Athens, AL

National Provider Directory

National Provider Directory

Locations

111 S Marion St
Athens, AL 35611
Phone (256) 230-5280

111 S Marion St
Ste B
Athens, AL 35611
Phone (256) 230-5280

1207 E Forrest St
Athens, AL 35613
Phone (770) 462-5415

1207 E Forrest St
#204D
Athens, AL 35613

1207 E Forrest St
Ste 204D
Athens, AL 35613
Phone (256) 230-5280

320 US Highway 31 N
Athens, AL 35611

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1164023529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MARION ST STE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112552",
            "telephone_number": "256-230-5280",
            "fax_number": "256-427-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MARION ST STE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112552",
            "telephone_number": "256-230-5280",
            "fax_number": "256-427-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADERHOLT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "ADERHOLT",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-777-1278",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.