Organization Active NPI

Alabama Bone & Joint Clinic,LLC

  • Orthopaedic Surgery Physician
  • Pelham, AL
National Provider Identifier
1780980540
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27369 Issued in AL
Legal business name
ALABAMA BONE & JOINT CLINIC,LLC
Practice address
120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187
Phone
(205) 621-3778
NPI assigned
Jan 26, 2011
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Dr. Chad Everett Mathis
Title
Delegated Official
Phone
(205) 621-3778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 27369 AL Primary

Addresses

Primary practice location

120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187

Mailing address

120 Cahaba Valley Pkwy Ste 100
Pelham, AL 35124-1187
Phone (205) 621-3778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110414000155 AL Part B Supplier - Clinic/Group Practice 3678757739 Receives reassigned benefits from 12 practitioners
Practice locations: Pelham, AL; Clanton, AL; Centreville, AL; Bessemer, AL; Alabaster, AL; Birmingham, AL
O20110729000349 AL DME Supplier - Physician - General Practice 3678757739 Practice locations: Pelham, AL

National Provider Directory

National Provider Directory

Locations

120 Cahaba Valley Pkwy
Pelham, AL 35124
Phone (205) 621-3778

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1780980540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY STE 100",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241187",
            "telephone_number": "205-621-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAHABA VALLEY PKWY STE 100",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241187",
            "telephone_number": "205-621-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA BONE & JOINT CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "205-621-3778",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "27369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.