Individual provider Active NPI

Charles Garrison Cloutier, MD

  • Family Medicine Physician
  • Prattville, AL
National Provider Identifier
1427044395
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10751 Issued in AL
Practice address
461 E Main St
Prattville, AL 36067-3409
Phone
(334) 351-2040
Fax
(334) 351-2047
NPI assigned
Sep 26, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10751 AL Primary

Addresses

Primary practice location

461 E Main St
Prattville, AL 36067-3409

Mailing address

PO Box 681944
Prattville, AL 36068-1944
Phone (334) 351-2040

Other identifiers 3

IdentifierTypeStateIssuer
009952895MedicaidAL
51013871OtherALBLUE CROSS BLUE SHIELD
011084OtherALUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prattville Primary Care LLC Family Medicine Current Accepting new patients
We Care Family Medicine, LLC Family Medicine CurrentSince Feb 23, 2020 Accepting new patients

Locations

461 E Main St
Prattville, AL 36067
Phone (334) 358-0450

Organizations & group practices 2

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427044395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681944",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360681944",
            "telephone_number": "334-351-2040",
            "fax_number": "334-351-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360673409",
            "telephone_number": "334-351-2040",
            "fax_number": "334-351-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTIER",
        "first_name": "CHARLES",
        "middle_name": "GARRISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2026-07-13",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009952895",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51013871",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "011084",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.