PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC (NPI# 1952952541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952952541 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ASSOCIATES OF ALEXANDER CITY PC |
| Practice Address |
21 Coosa County Road 50 Kellyton AL 35089-1900 |
| Mailing Address |
Po Box 1269 Alexander City AL 35011-1269 |
| Practice Telephone | 2562345021 |
| Mailing Telephone | 2562345021 |
| Mailing Fax Number | 2562345640 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | ERIC OWEN TYLER (PRESIDENT) |
| Authorized Official Telephone | 2562345021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284084 | Pediatric Associates of Alexander City PC | Clinic/Center | 1962 Cherokee Rd, Alexander City, AL 35010-3437 | 2006-04-17 |
| Street Address |
21 COOSA COUNTY ROAD 50 |
| City | KELLYTON |
| State | AL |
| Zip Code | 35089-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336173343 | Kellyton Volunteer Fire | Ambulance | 140 County Road 50, Kellyton, AL 35089-9408 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336173343 | Kellyton Volunteer Fire | Ambulance | 140 County Road 50, Kellyton, AL 35089-9408 | 2006-07-10 |
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595226 | Sunshine Pediatrics, LLC | Pediatrics | 3983 Nash Creek Dr, Opelika, AL 36804-4859 | 2020-10-16 |
| 1922615749 | Smart Care, LLC | Pediatrics | 801 North St E, Talladega, AL 35160-2529 | 2020-09-25 |
| 1124667415 | Brittany Johnson Mccullough | Pediatrics | 134 Foothills Pkwy, Chelsea, AL 35043-8179 | 2020-01-03 |
| 1982240941 | Heritage Pediatrics LLC | Pediatrics | 3358 Highway 280, Suite 108, Alexander City, AL 35010 | 2019-11-25 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1326699190 | Kids Cove Pediatrics | Pediatrics | 19 Abby Glen Way, Gurley, AL 35748-8035 | 2019-09-24 |
| 1386290781 | Deshazo Medical | Pediatrics | 4387 Boulder Lake Cir, Vestavia, AL 35242-2116 | 2019-08-13 |
| 1477013720 | Decatur Morgan Pediatrics | Pediatrics | 1215 7th St Se Ste 210, Decatur, AL 35601-3385 | 2019-03-22 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1629573928 | Kaitlyn Brown Parker | Pediatrics | 2451 Usa Medical Center Dr Rm 714, Mobile, AL 36617-2300 | 2018-03-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.