Reagan'S Clinic, LLC
NPI 1558123190 · Developmental - Behavioral Pediatrics Physician · Madison, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reagan'S Clinic, LLC is a Developmental - Behavioral Pediatrics Physician organization in Madison, AL (NPI 1558123190).
Provider details
- NPI number
- 1558123190
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marc Hultquist, Ceo(256) 258-8319
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Frequently asked questions
- What is Reagan'S Clinic, LLC's NPI number?
- Reagan'S Clinic, LLC's National Provider Identifier (NPI) is 1558123190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reagan'S Clinic, LLC?
- Reagan'S Clinic, LLC is classified in the NPPES registry as Developmental - Behavioral Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Reagan'S Clinic, LLC located?
- Reagan'S Clinic, LLC's practice location on file with NPPES is 12205 County Line Rd Ste C, Madison, AL 35758-7720.
- What is Reagan'S Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Reagan'S Clinic, LLC is (563) 424-0459.
- Does Reagan'S Clinic, LLC accept Medicare?
- Reagan'S Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Reagan'S Clinic, LLC?
- The authorized official listed on Reagan'S Clinic, LLC's NPPES record is Marc Hultquist, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reagan'S Clinic, LLC's NPI active?
- Yes — Reagan'S Clinic, LLC's NPI (1558123190) is active in the NPPES registry as of the last update on 2024-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.