Mtn Lake Urology PC
NPI 1801050364 · Specialist · Scottsboro, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mtn Lake Urology PC is a Specialist organization in Scottsboro, AL (NPI 1801050364).
Provider details
- NPI number
- 1801050364
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sherry Gross, Office Manager(256) 259-8765
- License
- 17993 (AL)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-07-14
- Last updated
- 2018-03-21
Frequently asked questions
- What is Mtn Lake Urology PC's NPI number?
- Mtn Lake Urology PC's National Provider Identifier (NPI) is 1801050364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mtn Lake Urology PC?
- Mtn Lake Urology PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Mtn Lake Urology PC located?
- Mtn Lake Urology PC's practice location on file with NPPES is 750 Byron Rd, Scottsboro, AL 35769-4051.
- What is Mtn Lake Urology PC's phone number?
- The practice phone number listed in the NPPES registry for Mtn Lake Urology PC is (256) 259-8765.
- Does Mtn Lake Urology PC accept Medicare?
- Mtn Lake Urology PC 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 Mtn Lake Urology PC?
- The authorized official listed on Mtn Lake Urology PC's NPPES record is Sherry Gross, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mtn Lake Urology PC's NPI active?
- Yes — Mtn Lake Urology PC's NPI (1801050364) is active in the NPPES registry as of the last update on 2018-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.