Decatur Ent Associates P C
Decatur Ent Associates P C is a healthcare organization registered as Facial Plastic Surgery Physician in Decatur, AL, holding Type 2 (organization) NPI 1164487708 since 2006. The authorized official on file is Shondra Clark, Billing/Insurance.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164487708 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Decatur Ent Associates P C |
| Practice address | 1218 13TH AVE SE, Decatur, AL, 35601 |
| Phone | 2563556200 |
| Fax | 2563556241 |
| Enumeration date | 2006-04-18 |
| Last updated in NPPES | 2023-02-20 |
Authorized official
| Name | Shondra Clark |
|---|---|
| Title | Billing/Insurance |
| Phone | 2563556200 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207YX0602X | Otolaryngic Allergy Physician | Secondary | — | — |
| 207YS0123X | Facial Plastic Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D380 | Other | AL | BCBS OF AL GROUP# |
| 529001940 | Medicaid | AL | — |
| CM6320 | Other | AL | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Decatur Ent Associates P C NPI: 1164487708 Taxonomy: 207YS0123X (Facial Plastic Surgery Physician) Address: 1218 13TH AVE SE, Decatur, AL, 35601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265413124 | Sage Copeland | Individual | Otolaryngology Physician | Decatur, AL |
| 1760463632 | Benjamin Light | Individual | Otolaryngology/Facial Plastic Surgery Physician | Decatur, AL |
| 1558342931 | George Godwin | Individual | Otolaryngology Physician | Decatur, AL |
Verify this record
Cross-check NPI 1164487708 against the authoritative CMS record: view Decatur Ent Associates P C on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Decatur Ent Associates P C?
Who is the authorized official for Decatur Ent Associates P C?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2023-02-20.