NPIMap

Organization Active NPI

Cogent Healthcare of Decatur, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Tuscaloosa, AL
National Provider Identifier
1386695500
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
COGENT HEALTHCARE OF DECATUR, LLC
Practice address
809 University Blvd E
Tuscaloosa, AL 35401
Phone
(205) 759-7111
NPI assigned
May 12, 2006
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Laura Fall
Title
Manager
Phone
(253) 682-6040

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary
Pulmonary Disease Physician 207RP1001X

Addresses

Primary practice location

809 University Blvd E
Tuscaloosa, AL 35401

Mailing address

1222 Demonbreun St Ste 1601
Nashville, TN 37203-7092
Phone (253) 682-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040323001222 AL Part B Supplier - Clinic/Group Practice 0446141972 Receives reassigned benefits from 44 practitioners
Practice locations: Huntsville, AL; Tuscaloosa, AL
O20230426000839 MS Part B Supplier - Clinic/Group Practice 0446141972 Receives reassigned benefits from 1 practitioner
Practice locations: Pearl, MS; Meridian, MS; Madison, MS; Lexington, MS; Jackson, MS; Durant, MS; Columbus, MS; Clinton, MS…

National Provider Directory

National Provider Directory

Locations

2002 5th St N
Columbus, MS 39705
Phone (301) 206-0901

3680 Lakeland Ln
Jackson, MS 39216
Phone (601) 376-2561

865 North St
Jackson, MS 39202
Phone (601) 348-6531

56 Rockport Rd
Lexington, MS 39095
Phone (662) 834-3021

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1386695500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 DEMONBREUN ST STE 1601",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372037092",
            "telephone_number": "253-682-6040",
            "fax_number": "888-241-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-759-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGENT HEALTHCARE OF DECATUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "FALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-682-6040"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.