NPIMap

Organization Active NPI

Smart Care, LLC

  • Pediatrics Physician
  • Talladega, AL
National Provider Identifier
1922615749
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SMART CARE, LLC
Practice address
801 North St E
Talladega, AL 35160-2529
Phone
(256) 418-4301
NPI assigned
Sep 25, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Muhammad Ata, MD
Title
MD/Owner
Phone
(256) 418-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

801 North St E
Talladega, AL 35160-2529

Mailing address

801 North St E
Talladega, AL 35160-2529
Phone (256) 418-4301

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201124001455 AL Part B Supplier - Clinic/Group Practice 7012328040 Receives reassigned benefits from 12 practitioners
Practice locations: Talladega, AL
O20210503000142 AL Part A Provider - Rural Health Clinic 7012328040 Practice locations: Talladega, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922615749. Details of each certification follow.

Rural health clinic certification: CCN 018952

Legal name
SMART CARE, LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 22, 2021
Last certification
Mar 22, 2021
Ownership / control type
1C
Organization structure
LLCProprietary
Enrollment address
801 North St E
Talladega, AL 35160-2529

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
01D2190673Smart Care, LLC801 North St East, Talladega, AL 35160Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Locations

801 North St E
Talladega, AL 35160
Phone (256) 362-3005

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Muhammad Ata Individual 5% Or Greater Direct Ownership InterestPresident Dec 1, 2020 60%
Corporate OfficerPresident Jun 17, 2020
Operational/Managerial ControlPresident Jun 17, 2020
Zaheer a Khan Individual 5% Or Greater Direct Ownership InterestVP Dec 1, 2020 40%
Corporate OfficerVP Jun 17, 2020
Operational/Managerial ControlVP Jun 17, 2020

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Muhammad Ejaz Ata
    • Internal Medicine Physician
    • Pisgah, AL
    • NPI 1023112307

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

    CMS ownership
  • Zaheer A Khan, M.D.
    • Internal Medicine Physician
    • Huntsville, AL
    • NPI 1669454351

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1922615749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NORTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602529",
            "telephone_number": "256-418-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTH ST E",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602529",
            "telephone_number": "256-418-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "256-418-4301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.