NPIMap

Organization Active NPI

Cullman Internal Medicine, PC

  • Internal Medicine Physician
  • Cullman, AL
National Provider Identifier
1619920519
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CULLMAN INTERNAL MEDICINE, PC
Practice address
1890 Al Highway 157
Suite 300
Cullman, AL 35058-3601
Phone
(256) 737-8000
Fax
(256) 737-8058
NPI assigned
May 19, 2006
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Julie E Mobley
Title
Practice Adminsitrator
Phone
(256) 737-8047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL Primary

Addresses

Primary practice location

1890 Al Highway 157
Suite 300
Cullman, AL 35058-3601

Mailing address

1890 Al Highway 157
Suite 300
Cullman, AL 35058-3601
Phone (256) 737-8000

Other identifiers 2

IdentifierTypeStateIssuer
528301990MedicaidAL
CD0005OtherALRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040719000987 AL Part B Supplier - Clinic/Group Practice 2365354339 Receives reassigned benefits from 39 practitioners
Practice locations: Cullman, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0990431Internal Medicine and Pediatrics of Cullman, PC1890 Al Highway 157, Suite 430, Cullman, AL 35058Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

30795 Highway 278
Addison, AL 35540
Phone (256) 747-8100

1701 Main Ave SW
Ste D
Cullman, AL 35055
Phone (256) 736-8998

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1619920519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157",
            "address_2": "SUITE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583601",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157",
            "address_2": "SUITE 300",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583601",
            "telephone_number": "256-737-8000",
            "fax_number": "256-737-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINSITRATOR",
        "authorized_official_telephone_number": "256-737-8047"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528301990",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD0005",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.