MADISON VALLEY PEDIATRICS
NPI 1053405316
Pediatrics in Madison, AL

Active since October 03, 2006CLIA 01D1038014 · Waiver
3809 SULLIVAN ST, STE 5, MADISON, AL 35758(256) 461-0209(256) 772-1506 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madison Valley Pediatrics NPPES

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

MADISON VALLEY PEDIATRICS (NPI 1053405316) is a healthcare organization registered as a pediatrics in Madison, Alabama and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Beverly D Young, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053405316
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMADISON VALLEY PEDIATRICS
Location Address3809 SULLIVAN ST, STE 5Madison, AL 35758
Mailing Address3809 Sullivan St, Ste 5Madison, AL 35758 · (256) 461-0209 · Fax (256) 772-1506
Fax(256) 772-1506
Organization SubpartNo
Authorized OfficialBeverly D YoungOffice Manager · (256) 461-0209
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1053405316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in AL · 20565
Definition

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.

3809 SULLIVAN ST, Madison, AL 35758

Other Identifiers 2

Other1659348019Drjacqueline C Gales Npi
Other51000822AL · Blue Cross

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 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 01D1038014

Madison Valley Pediatrics · Madison, AL
Active · expires Mar 8, 2027
CLIA Number01D1038014
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorJacqueline E. Crespo-Gales MD
Laboratory Phone(256) 461-0209
Laboratory LocationMadison Valley Pediatrics101 Westover Circle Suite A, Madison, AL 35758
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 4

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

Internal Medicine
3809 SULLIVAN ST, SUITE 7
MADISON, AL 35758
Obstetrics & Gynecology
3809 SULLIVAN ST, SUITE 6-A
MADISON, AL 35758
Internal Medicine (Addiction Medicine)
3809 SULLIVAN ST, SUITE 4
MADISON, AL 35758
Clinic/Center (Urgent Care)
3809 SULLIVAN ST, SUITE 5
MADISON, AL 35758

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 Madison Valley Pediatrics's NPI number?

The NPI number for Madison Valley Pediatrics is 1053405316. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Madison Valley Pediatrics located?

Madison Valley Pediatrics is located at 3809 Sullivan St Ste 5, Madison, AL 35758. The listed phone number is (256) 461-0209.

What is Madison Valley Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Madison Valley Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1038014) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madison Valley Pediatrics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.