PREMIER FAMILY CARE BLOUNTSVILLE, LLC
NPI 1114540408
Clinic/Center - Rural Health in Blountsville, AL

Active since May 21, 2020CLIA 01D2195373 · Waiver
68278 MAIN ST, BLOUNTSVILLE, AL 35031(256) 586-2324(256) 586-0024 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Family Care Blountsville, Llc NPPES

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

PREMIER FAMILY CARE BLOUNTSVILLE, LLC (NPI 1114540408) is a healthcare organization registered as a rural health in Blountsville, Alabama and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Beverly Harper, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114540408
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePREMIER FAMILY CARE BLOUNTSVILLE, LLC
Location Address68278 MAIN STBlountsville, AL 35031-3370
Mailing Address68278 Main StBlountsville, AL 35031-3370 · (256) 586-2324 · Fax (256) 586-0024
Fax(256) 586-0024
Organization SubpartNo
Authorized OfficialBeverly HarperOffice Manager · (256) 586-2324
Enumeration DateMay 21, 2020
NPPES CertifiedMay 21, 2020
NPI 1114540408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
68278 MAIN ST, Blountsville, AL 35031

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 01D2195373

Premier Family Care Blountsville, LLC · Blountsville, AL
Active · expires Oct 7, 2026
CLIA Number01D2195373
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorJess H. Youngblood
Laboratory Phone(833) 429-2324
Laboratory LocationPremier Family Care Blountsville, LLC68278 Main St, Blountsville, AL 35031
CLIA data matches this NPI record on: Address Name
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.

Family Medicine
68278 MAIN ST
BLOUNTSVILLE, AL 35031
Family Medicine
68278 MAIN ST
BLOUNTSVILLE, AL 35031
Clinic/Center (Primary Care)
68278 MAIN ST
BLOUNTSVILLE, AL 35031
Family Medicine
68278 MAIN ST
BLOUNTSVILLE, AL 35031

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 Premier Family Care Blountsville, LLC's NPI number?

The NPI number for Premier Family Care Blountsville, LLC is 1114540408. It was assigned to this organization in the NPPES registry on May 21, 2020.

Where is Premier Family Care Blountsville, LLC located?

Premier Family Care Blountsville, LLC is located at 68278 Main St, Blountsville, AL 35031. The listed phone number is (256) 586-2324.

What is Premier Family Care Blountsville, LLC's specialty?

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

Does Premier Family Care Blountsville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2195373) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premier Family Care Blountsville, LLC was last updated on May 21, 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.