OrganizationActive
Srd Athens, PLLC
NPI 1053029116 · Dentist · Athens, AL
Srd Athens, PLLC is a Dentist organization in Athens, AL (NPI 1053029116).
Provider details
- NPI number
- 1053029116
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Christyn Shields, Controller(256) 320-5903
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
22026 Gateway Blvd
Suites a
Athens, AL 35613
Phone: (256) 383-8037
Approximate (ZIP-level) locationGet directions
Mailing address
110 E 5th St
Tuscumbia, AL 35674-2410
Other names (DBA / former)
- Doing business as
- Srd Athens
- Doing business as
- Srd Athens
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2022-11-22
- Certified
- 2022-11-15
Frequently asked questions
- What is Srd Athens, PLLC's NPI number?
- Srd Athens, PLLC's National Provider Identifier (NPI) is 1053029116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Srd Athens, PLLC?
- Srd Athens, PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Srd Athens, PLLC located?
- Srd Athens, PLLC's practice location on file with NPPES is 22026 Gateway Blvd, Athens, AL 35613.
- What is Srd Athens, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Srd Athens, PLLC is (256) 383-8037.
- Who is the authorized official for Srd Athens, PLLC?
- The authorized official listed on Srd Athens, PLLC's NPPES record is Christyn Shields, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Srd Athens, PLLC's NPI active?
- Yes — Srd Athens, PLLC's NPI (1053029116) is active in the NPPES registry as of the last update on 2022-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.