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Mtn Lake Urology PC

Specialist in Scottsboro, AL · enumerated 2008 · authorized official Sherry Gross, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801050364

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Registry record

Entity type Organization (Type 2)
Legal business name Mtn Lake Urology PC
Practice address 750 Byron Rd, Scottsboro, AL, 35769
Fax (256) 716-8060
Enumeration date Jul 14, 2008
Last updated in NPPES Mar 21, 2018

Taxonomy & classification

174400000X Specialist Other Service Providers · License 17993 (AL) Primary

Authorized official

Name Sherry Gross
Title Office Manager

Other identifiers

Identifier Type State Issuer
106277 Medicaid AL -

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.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mtn Lake Urology PC?
Mtn Lake Urology PC is registered in NPPES as a Specialist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-21.