NPIMap

Individual provider Active NPI

Clinton Erle McEntyre, M.D.

  • Family Medicine Physician
  • Northport, AL
National Provider Identifier
1518040005
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20976 Issued in AL
Practice address
4310 Watermelon Rd
Northport, AL 35473-5166
Phone
(205) 330-5266
Fax
(205) 330-9915
NPI assigned
Oct 20, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 20976 AL Primary

Addresses

Primary practice location

4310 Watermelon Rd
Northport, AL 35473-5166

Mailing address

4310 Watermelon Rd
Northport, AL 35473-5166
Phone (205) 330-5266

Other identifiers 3

IdentifierTypeStateIssuer
P00802676OtherALMEDICARE RAILROAD
511-00517OtherALBCBS OF AL.
1336474964/115060MedicaidAL

Other names 1

  • Clinton Erle McEntyre Jr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090716000226 AL Practitioner - Family Practice 7113812777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SLCM LLCGroup PAC ID 9830230119, 5 clinicians

Practice addresses (Care Compare)

4310 Watermelon Rd
Northport, AL 35473-5166
Phone (205) 330-5266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as individual
Quality
97.19
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20976ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SLCM LLC Family Medicine CurrentSince Jan 1, 2010 Accepting new patients
Harkemac Two LLC Family Medicine Current Accepting new patients
Steve R Lovelady MD LLC Family Medicine Current Accepting new patients
Harkemac, LLC Family Medicine Current Accepting new patients

Locations

1325 McFarland Blvd
Ste 104
Northport, AL 35476
Phone (205) 330-5266

4310 Watermelon Rd
Northport, AL 35473
Phone (205) 330-5266

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1518040005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735166",
            "telephone_number": "205-330-5266",
            "fax_number": "205-330-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 WATERMELON RD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735166",
            "telephone_number": "205-330-5266",
            "fax_number": "205-330-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTYRE",
        "first_name": "CLINTON",
        "middle_name": "ERLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00802676",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL.",
            "identifier": "511-00517",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336474964/115060",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLINTON",
            "last_name": "MCENTYRE",
            "middle_name": "ERLE",
            "suffix": "JR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.