Individual provider Active NPI

Glenn O Archibald, MD

  • Psychiatry Physician
  • Huntsville, AL
National Provider Identifier
1316947450
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16043 Issued in AL
Practice address
415 Church St NW Ste 10
Huntsville, AL 35801-5573
Phone
(256) 536-4700
NPI assigned
Jul 29, 2005
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 16043 AL Primary

Addresses

Primary practice location

415 Church St NW Ste 10
Huntsville, AL 35801-5573

Mailing address

PO Box 2409
Huntsville, AL 35804-2409
Phone (256) 536-4700

Other practice location 1

1 Perimeter Park S Ste 100N
Birmingham, AL 35243-3248
Phone (205) 578-2393

Other practice location 2

801 Noble St Ste 400
Anniston, AL 36201-5698
Phone (256) 294-1727

Other practice location 3

3500 Memorial Pkwy SW
Huntsville, AL 35801-5318
Phone (256) 536-4700

Other practice location 4

201 E McKinney Ave Ste A
Albertville, AL 35950-1876
Phone (256) 660-5127

Other practice location 5

112 S Pine St Ste 202
Florence, AL 35630-5509
Phone (256) 764-0492

Other practice location 6

3007 Memorial Pkwy SW Ste C
Huntsville, AL 35801-5394
Phone (256) 429-4500

Other identifiers 2

IdentifierTypeStateIssuer
16043OtherALMEDICAL LICENSE
051500571MedicaidAL

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
I20040213000343 AL Practitioner - PsychiatryPractitioner - Addiction Medicine 3779477203 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

100 Concourse Pkwy
Suite 101
Birmingham, AL 35244-2905
Phone (205) 444-0420

415 Church St NW
Suite 10
Huntsville, AL 35801-5573
Phone (256) 536-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16043ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chilton County Treatment Center CurrentSince Jan 1, 2020 Accepting new patients
Shelby County Treatment Center CurrentSince Jan 1, 2020 Accepting new patients
Health Services Center, Inc. PastSince Mar 5, 2002 Accepting new patients
SVPS Psychiatric Services LLC Psychiatry PastSince Jun 1, 2017 Accepting new patients

Locations

750 Highway 31 S
Alabaster, AL 35007
Phone (205) 216-0200

2100 Holiday Inn Dr
Clanton, AL 35046
Phone (205) 755-4300

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1316947450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2409",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042409",
            "telephone_number": "256-536-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHURCH ST NW STE 10",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015573",
            "telephone_number": "256-536-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Perimeter Park S Ste 100N",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433248",
            "country_code": "US",
            "telephone_number": "205-578-2393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Noble St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362015698",
            "country_code": "US",
            "telephone_number": "256-294-1727",
            "fax_number": "205-448-1187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Memorial Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015318",
            "country_code": "US",
            "telephone_number": "256-536-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E McKinney Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359501876",
            "country_code": "US",
            "telephone_number": "256-660-5127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 S Pine St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356305509",
            "country_code": "US",
            "telephone_number": "256-764-0492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3007 Memorial Pkwy SW Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358015394",
            "country_code": "US",
            "telephone_number": "256-429-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "GLENN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "16043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "16043",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051500571",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.