NPIMap

Organization Active NPI

HH Health System - Morgan, LLC

Doing business as Moulton Primary Care Clinic

  • Rural Health Clinic/Center
  • Moulton, AL
National Provider Identifier
1932991544
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HH HEALTH SYSTEM - MORGAN, LLC
Doing business as
Moulton Primary Care Clinic
Practice address
40 Medical Cir
Moulton, AL 35650-1256
Phone
(256) 974-0606
Fax
(256) 522-2227
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Kelli S Powers
Title
Ceo
Phone
(256) 973-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

40 Medical Cir
Moulton, AL 35650-1256

Mailing address

40 Medical Cir
Moulton, AL 35650-1256
Phone (256) 974-0606

Other names 1

  • Moulton Primary Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250717002723 AL Part A Provider - Rural Health Clinic 5597918581 Practice locations: Moulton, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932991544. Details of each certification follow.

Rural health clinic certification: CCN 013466

Legal name
HH HEALTH SYSTEM - MORGAN, LLC
Doing business as
MOULTON PRIMARY CARE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 29, 2016
Last certification
Nov 8, 2023
Ownership / control type
2B
Organization structure
LLCNon-profit
Enrollment address
40 Medical Cir
Moulton, AL 35650-1256
Related CCNs
010085

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
H H Health System-Morgan LL8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

40 Medical Cir
Moulton, AL 35650
Phone (256) 974-0606

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Crystal Brown Individual Corporate DirectorBoard Member Jan 1, 2023
Punuru J Reddy Individual Corporate DirectorBoard Member Jan 1, 2023
Terri Collins Individual Corporate DirectorBoard Member Jul 26, 2024
Michael Wade Weaver Individual Corporate DirectorBoard Member Jul 26, 2024
Thomas Morris Guyton Individual Corporate DirectorBoard Member Jul 26, 2024
Jerry Baker Individual Corporate DirectorBoard Member Jul 26, 2024
Melissa Craig Individual Corporate DirectorBoard Member Sep 1, 2012
Ken Schuppert Individual Corporate DirectorBoard Member Sep 1, 2012
Kelli S Powers Individual Corporate OfficerPresident Aug 4, 2020
Operational/Managerial ControlPresident Aug 4, 2020
Mitchell Schuster Individual Corporate DirectorChief of Staff Jan 1, 2024
Doug C Dewberry Individual Corporate OfficerCfo Mar 7, 2022
Operational/Managerial ControlCfo Mar 7, 2022
Claude Wallace Terry Individual Corporate DirectorBoard Member Oct 1, 2014

Owners & managing parties with NPI records 2

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

Change-of-ownership history 1

DateEventCounterparty
May 24, 2025 Change of OwnershipThis provider was the buyer Moulton Primary Care ClinicCCN 013466, AL, NPI 1760930200

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1932991544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501256",
            "telephone_number": "256-974-0606",
            "fax_number": "256-522-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL CIR",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501256",
            "telephone_number": "256-974-0606",
            "fax_number": "256-522-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HH HEALTH SYSTEM - MORGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-973-2150"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moulton Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moulton, AL

Sources for this page

Verify at the official NPI Registry.