Active NPI
Synergy Medical Partners, LLC
- General Practice Physician
- Huntsville, AL
National Provider Identifier
1912467309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SYNERGY MEDICAL PARTNERS, LLC
- Practice address
- 4820 University Dr NW Ste 35
Huntsville, AL 35816-1824 - Phone
- (256) 759-9167
- Fax
- (256) 489-3191
- NPI assigned
- Mar 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Baltrusaitis, RN, BSN
- Title
- Office Manager
- Phone
- (256) 759-9167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4820 University Dr NW Ste 35
Huntsville, AL 35816-1824
Mailing address
4820 University Dr NW Ste 35
Huntsville, AL 35816-1824
Phone (256) 759-9167
Other practice location 1
7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone (256) 763-4154
Other names 1
- Synergy Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200131000497 | AL | Part B Supplier - Clinic/Group Practice | 3072949569 |
Receives reassigned benefits from 5 practitioners Practice locations: Huntsville, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2235993 | Dba Synergy Wellness | Certificate of waiver | Sep 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
7105B Bailey Creek Cir SE
Huntsville, AL 35802
Phone (256) 763-4154
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1972683290
-
- Family Nurse Practitioner
- Madison, AL
- NPI 1124585419
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1962612903
-
- Internal Medicine Physician
- Huntsville, AL
- NPI 1699743021
-
- Gerontology Nurse Practitioner
- Huntsville, AL
- NPI 1417318403
-
- Acute Care Nurse Practitioner
- Cullman, AL
- NPI 1316308307
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1821059288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1912467309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 UNIVERSITY DR NW STE 35",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358161824",
"telephone_number": "256-759-9167",
"fax_number": "256-489-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 UNIVERSITY DR NW STE 35",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358161824",
"telephone_number": "256-759-9167",
"fax_number": "256-489-3191"
}
],
"practiceLocations": [
{
"address_1": "7105B Bailey Creek Cir SE",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358022797",
"country_code": "US",
"telephone_number": "256-763-4154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SYNERGY MEDICAL PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-21",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "BALTRUSAITIS",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "256-759-9167",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.