NPIMap

Organization Active NPI

Clinical Urology Associates, P.C.

  • Vascular & Interventional Radiology Physician
  • Albertville, AL
National Provider Identifier
1790634103
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
CLINICAL UROLOGY ASSOCIATES, P.C.
Practice address
133 Wall St
Albertville, AL 35951-9300
Phone
(256) 492-4040
Fax
(256) 492-4017
NPI assigned
Jan 27, 2026
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CLINICAL UROLOGY ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Kourtney Mayo Ford
Title
Practice Credentialing Manager
Phone
(256) 492-4040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X Primary
Urology Physician 208800000X

Addresses

Primary practice location

133 Wall St
Albertville, AL 35951-9300

Mailing address

713 Goodyear Ave
Gadsden, AL 35903-1156
Phone (256) 492-4040

National Provider Directory

National Provider Directory
Tax ID family
Clinical Urology Assocs8 organizations share this tax ID, including this one
Part of
Clinical Urology Assocs

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1790634103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031156",
            "telephone_number": "256-492-4040",
            "fax_number": "256-492-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WALL ST",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359519300",
            "telephone_number": "256-492-4040",
            "fax_number": "256-492-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL UROLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICAL UROLOGY ASSOCIATES, P.C.",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_middle_name": "MAYO",
        "authorized_official_title_or_position": "PRACTICE CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "256-492-4040"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.