FT PAYNE PEDIATRICS,LLC
NPI 1033477393
Clinic/Center - Rural Health in Fort Payne, AL

Active since April 24, 2012CLIA 01D2085490 · Waiver
1906 GLENN BLVD SW STE 100A, FORT PAYNE, AL 35968(256) 997-5900 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ft Payne Pediatrics,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FT PAYNE PEDIATRICS,LLC (NPI 1033477393) is a healthcare organization registered as a rural health in Fort Payne, Alabama and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through October 14, 2026 and lists Peter Strogov, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1033477393
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFORT PAYNE PEDIATRICS LLC
Location Address1906 GLENN BLVD SW STE 100AFort Payne, AL 35968-3546
Mailing Address1906 Glenn Blvd Sw Ste 100aFort Payne, AL 35968-3546 · (256) 997-5900
Organization SubpartNo
Authorized OfficialPeter StrogovPhysician/owner · (256) 997-5900
Enumeration DateApril 24, 2012
Last NPPES UpdateMarch 31, 2014
NPI 1033477393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in AL · 01-8910
Also ListedPediatricsTaxonomy 208000000X · License 30426 (AL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1-075895 (AL), 1-087445 (AL)
1906 GLENN BLVD SW STE 100A, Fort Payne, AL 35968

Other Names 1

Other NameFt Payne Pediatrics,llc

Other Identifiers 1

Medicaid139385AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2085490

Fort Payne Pediatrics LLC · Fort Payne, AL
Active · expires Oct 14, 2026
CLIA Number01D2085490
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorDr. Peter Strogov
Laboratory Phone(256) 997-5900
Laboratory LocationFort Payne Pediatrics LLC1359 Old Waterworks Road SW, Fort Payne, AL 35968
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1906 GLENN BLVD SW STE 100A
FORT PAYNE, AL 35968
Nurse Practitioner (Family)
1906 GLENN BLVD SW STE 100A
FORT PAYNE, AL 35968
Family Medicine
1906 GLENN BLVD SW STE 100A
FORT PAYNE, AL 35968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Payne Pediatrics LLC's NPI number?

The NPI number for Fort Payne Pediatrics LLC is 1033477393. It was assigned to this organization in the NPPES registry on April 24, 2012. The provider is also known as Ft Payne Pediatrics,llc.

Where is Fort Payne Pediatrics LLC located?

Fort Payne Pediatrics LLC is located at 1906 Glenn Blvd SW Ste 100A, Fort Payne, AL 35968. The listed phone number is (256) 997-5900.

What is Fort Payne Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Fort Payne Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2085490) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Payne Pediatrics LLC was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.