PRIMARY CARE PEDIATRICS AND FAMILY MEDICINE, P.C
NPI 1083078596
Pediatrics in Harvest, AL
About Primary Care Pediatrics And Family Medicine, P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE PEDIATRICS AND FAMILY MEDICINE, P.C (NPI 1083078596) is a healthcare organization registered as a pediatrics in Harvest, Alabama and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Shraddha Shrestha, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Care Pediatrics And Family Medicine, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Primary Care Pediatrics And Family Medicine, P.C, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 01D2113426
Primary Care Pediatrics And Family Medicine PC · Harvest, ALFrequently 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 Primary Care Pediatrics And Family Medicine, P.C's NPI number?
The NPI number for Primary Care Pediatrics And Family Medicine, P.C is 1083078596. It was assigned to this organization in the NPPES registry on April 11, 2016.
Where is Primary Care Pediatrics And Family Medicine, P.C located?
Primary Care Pediatrics And Family Medicine, P.C is located at 29869 Capshaw Road, Harvest, AL 35749. The listed phone number is (256) 262-1040.
What is Primary Care Pediatrics And Family Medicine, P.C's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Primary Care Pediatrics And Family Medicine, P.C enrolled in Medicare?
Yes. Primary Care Pediatrics And Family Medicine, P.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Pediatrics And Family Medicine, P.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Primary Care Pediatrics And Family Medicine, P.C, in Family Practice and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Care Pediatrics And Family Medicine, P.C hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2113426) is associated with this NPI, valid through May 22, 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 Primary Care Pediatrics And Family Medicine, P.C was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Primary Care Pediatrics And Family Medicine, P.c · NPI 1083078596
Pediatrics organization in Harvest, Alabama. Organization record, active in the CMS NPPES registry since April 11, 2016.
## Identity
- **NPI:** 1083078596 (Entity type: Organization)
- **Enumerated:** April 11, 2016
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Shraddha Shrestha, CEO
## Practice location
- **Address:** 29869 CAPSHAW ROAD, Harvest, AL 35749
- **Phone:** (256) 262-1040 · **Fax:** (256) 325-2180
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Pediatric Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083078596) · Data from the CMS NPPES public registry.