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INNOVATIVE HEALTHCARE, LLC
NPI 1083361893
Pediatrics in Dothan, AL

Active since March 02, 2022CLIA 01D2243664 · Waiver
200 GROVE PARK LN STE 660, DOTHAN, AL 36305(334) 791-6910 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Innovative Healthcare, Llc NPPES

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

INNOVATIVE HEALTHCARE, LLC (NPI 1083361893) is a healthcare organization registered as a pediatrics in Dothan, Alabama and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Claude T Ashley, Manager/ Physician, as its authorized official.

NPPES Registry Identity

NPI1083361893
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameINNOVATIVE HEALTHCARE, LLC
Location Address200 GROVE PARK LN STE 660Dothan, AL 36305-5922
Mailing Address200 Grove Park Ln Ste 660Dothan, AL 36305-5922 · (334) 791-6910
Phone(334) 791-6910
Organization SubpartNo
Authorized OfficialClaude T AshleyManager/ Physician · (334) 791-6910
Enumeration DateMarch 2, 2022
NPPES CertifiedMarch 2, 2022
✔ NPI 1083361893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
200 GROVE PARK LN STE 660, Dothan, AL 36305
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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 01D2243664

Innovative Healthcare LLC · Dothan, AL
Active · expires Nov 21, 2027
CLIA Number01D2243664
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorDr. Claude T. Ashley Jr
Laboratory Phone(334) 791-6910
Laboratory LocationInnovative Healthcare LLC200 Grove Park Lane, Suite 660, Dothan, AL 36305
CLIA data matches this NPI record on: Address 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 Innovative Healthcare, LLC's NPI number?

The NPI number for Innovative Healthcare, LLC is 1083361893. It was assigned to this organization in the NPPES registry on March 2, 2022.

Where is Innovative Healthcare, LLC located?

Innovative Healthcare, LLC is located at 200 Grove Park Ln Ste 660, Dothan, AL 36305. The listed phone number is (334) 791-6910.

What is Innovative Healthcare, LLC's specialty?

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

Does Innovative Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2243664) is associated with this NPI, valid through November 21, 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 Innovative Healthcare, LLC was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.