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CUSTOM FAMILY CARE
NPI 1053839811
Family Medicine in Madison, AL

Active since August 31, 2017CLIA 01D2146280 · Microscopy
279 HUGHES RD, MADISON, AL 35758(256) 289-1733 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2021, Aug 31, 2017 (2 updates tracked since 2017).

About Custom Family Care NPPES

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

CUSTOM FAMILY CARE (NPI 1053839811) is a healthcare organization registered as a family medicine in Madison, Alabama and active in the NPI registry since August 2017. The organization holds a CLIA Microscopy certificate valid through March 26, 2028 and lists Ivan Pivovarov, President, as its authorized official.

NPPES Registry Identity

NPI1053839811
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCUSTOM FAMILY CARE, LLC
Location Address279 HUGHES RDMadison, AL 35758-1142
Mailing Address279 Hughes RdMadison, AL 35758-1142
Phone(256) 289-1733
Organization SubpartNo
Authorized OfficialIvan PivovarovPresident · (256) 325-0480
Enumeration DateAugust 31, 2017
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1053839811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
279 HUGHES RD, Madison, AL 35758
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Other Names 1

Doing Business AsCustom Family Care

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 for Provider-Performed Microscopy Procedures (PPMP) 01D2146280

Custom Family Care · Madison, AL
Active · expires Mar 26, 2028
CLIA Number01D2146280
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorIvan A. Pivovarov
Laboratory Phone(256) 325-0480
Laboratory LocationCustom Family Care279 Hughes Road, Madison, AL 35758
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

IVAN PIVOVAROV MD
Family Medicine
279 HUGHES RD
MADISON, AL 35758
Madison County (256) 289-1733

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 Custom Family Care, LLC's NPI number?

The NPI number for Custom Family Care, LLC is 1053839811. It was assigned to this organization in the NPPES registry on August 31, 2017. The provider is doing business as Custom Family Care.

Where is Custom Family Care, LLC located?

Custom Family Care, LLC is located at 279 Hughes Rd, Madison, AL 35758. The listed phone number is (256) 289-1733.

What is Custom Family Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Custom Family Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D2146280) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Custom Family Care, LLC was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.