ANDALUSIA MEDICAL CENTER, LLC — NPI 1831479781 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1831479781

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208D00000X (CMS 01)

Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice

Box 32 Service Location & ZIP+4

1800 US HWY 84 WEST, OPP, AL, 36467-3520

✓ 9-Digit EDI 837 ZIP+4 (36467-3520)

Practice Phone & Referral Fax

(334) 493-4357

Fax: (334) 222-3825

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1831479781 (ANDALUSIA MEDICAL CENTER, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1831479781` (NPI-2 Organization / Facility)
Provider / Legal Name	ANDALUSIA MEDICAL CENTER, LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice NUCC Code: `208D00000X` (General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1800 US HWY 84 WEST, OPP, AL, 36467-3520
Practice Telephone / Fax	Tel: (334) 493-4357 \| Fax: (334) 222-3825
Administrative Mailing Address	1800 US HWY 84 WEST, OPP, AL, 36467-3520
Enumeration & Last Sync	Enumerated: 2011-08-24 \| CMS Record Updated: 2014-12-29
Authorized Official	KEVIN DIEL (M.D./Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1800 US HWY 84 WEST, OPP, AL, 36467-3520

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Plain-English Taxonomy & CMS Crosswalk (208D00000X)

What Does Taxonomy Code 208D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208D00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 01 (Physician/General Practice) • CMS Code 99 (Physician/Undefined Physician type[6])
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDALUSIA MEDICAL CENTER, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208D00000X` — General Practice Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — General Practice	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDALUSIA MEDICAL CENTER, LLC (NPI #1831479781)