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PICKENS COUNTY PRIMARY CARE, P.C
NPI 1063988806
Clinic/Center - Rural Health in Gordo, AL

Active since October 19, 2018CLIA Certified · 2 labs
630 4TH ST NW, GORDO, AL 35466(205) 375-6251(205) 375-9064 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2020, Jul 16, 2019, Oct 19, 2018 (3 updates tracked since 2018).

About Pickens County Primary Care, P.c NPPES

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

PICKENS COUNTY PRIMARY CARE, P.C (NPI 1063988806) is a healthcare organization registered as a rural health in Gordo, Alabama and active in the NPI registry since October 2018. The organization holds 2 active CLIA laboratory certificates and lists Julia L Boothe, Owner, as its authorized official.

NPPES Registry Identity

NPI1063988806
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePICKENS COUNTY PRIMARY CARE, P.C
Location Address630 4TH ST NWGordo, AL 35466
Mailing Address108 4th Ave Sw Ste AReform, AL 35481-8018 · (205) 375-6251 · Fax (205) 375-9064
Phone(205) 375-6251
Fax(205) 375-9064
Organization SubpartYes
Authorized OfficialJulia L BootheOwner · (205) 792-6701
Enumeration DateOctober 19, 2018
Last NPPES UpdateFebruary 19, 20203 updates tracked since enumeration
✔ NPI 1063988806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
630 4TH ST NW, Gordo, AL 35466
Open in Google Maps ↗

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 2

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 01D0301960

Pickens County Primary Care PC · Reform, AL
Active · expires Mar 23, 2027
CLIA Number01D0301960
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorDr. Julia L. Boothe MD
Laboratory Phone(205) 375-6251
Laboratory LocationPickens County Primary Care PC108 4th Avenue SW, Suite A, Reform, AL 35481
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2197746

Pickens County Primary Care PC · Carrollton, AL
Active · expires Oct 26, 2026
CLIA Number01D2197746
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. Julia L. Boothe
Laboratory Phone(205) 375-6251
Laboratory LocationPickens County Primary Care PC99 Commerce Avenue, Carrollton, AL 35447
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pickens County Primary Care, P.C's NPI number?

The NPI number for Pickens County Primary Care, P.C is 1063988806. It was assigned to this organization in the NPPES registry on October 19, 2018.

Where is Pickens County Primary Care, P.C located?

Pickens County Primary Care, P.C is located at 630 4th St NW, Gordo, AL 35466. The listed phone number is (205) 375-6251.

What is Pickens County Primary Care, P.C's specialty?

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

Does Pickens County Primary Care, P.C hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pickens County Primary Care, P.C was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.