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PEDIATRIC CLINIC LLC
NPI 1134286248
Pediatrics in Opelika, AL

Active since January 02, 2007CLIA Certified · 3 labs
2401 VILLAGE PROFESSIONAL DRIVE, OPELIKA, AL 36801(334) 749-8121(334) 749-6166 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Clinic Llc NPPES

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

PEDIATRIC CLINIC LLC (NPI 1134286248), doing business as Pediatric Clinic, is a healthcare organization registered as a pediatrics in Opelika, Alabama and active in the NPI registry since January 2007. The organization holds 3 active CLIA laboratory certificates and lists David Bryant Smalley, Partner, as its authorized official.

NPPES Registry Identity

NPI1134286248
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CLINIC LLC
Location Address2401 VILLAGE PROFESSIONAL DRIVEOpelika, AL 36801-4702
Mailing Address2401 Village Professional DriveOpelika, AL 36801-4702 · (334) 749-8121 · Fax (334) 749-6166
Phone(334) 749-8121
Fax(334) 749-6166
Organization SubpartNo
Authorized OfficialDavid Bryant SmalleyPartner · (334) 749-8121
Enumeration DateJanuary 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1134286248 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.
2401 VILLAGE PROFESSIONAL DRIVE, Opelika, AL 36801
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Other Names 1

Former Legal Business NamePediatric Clinic

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 3

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 Compliance 01D0306300

Pediatric Clinic · Opelika, AL
Active · expires Sep 21, 2027
CLIA Number01D0306300
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorRichard L. Glaze
Laboratory Phone(334) 749-8121
Laboratory LocationPediatric Clinic2401 Village Professional Drive, Opelika, AL 36801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 01D2300083

Pediatric Clinic, Llc-Champions Location · Auburn, AL
Active · expires Mar 3, 2028
CLIA Number01D2300083
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorDr. Richard L. Glaze
Laboratory Phone(334) 749-8121
Laboratory LocationPediatric Clinic, Llc-Champions Location2375 Champions Blvd, Suite 3, Auburn, AL 36830
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D0914727

Pediatric Clinic LLC - Auburn · Auburn, AL
Active · expires Aug 9, 2026
CLIA Number01D0914727
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorDr. Richard Glaze MD
Laboratory Phone(334) 749-8121
Laboratory LocationPediatric Clinic LLC - Auburn760 E Glenn Ave, Auburn, AL 36830
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. BRIAN CHRISTOPHER FULLER M.D.
Pediatrics
2401 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL 36801
Lee County (334) 749-8121
DR. RICHARD LEE GLAZE M.D.
Pediatrics
2401 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL 36801
Lee County (334) 749-8121
DR. SARA LYNN SMITH T M.D.
Pediatrics
2401 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL 36801
Lee County (334) 749-8121
DR. LISA DYER YOUNG M.D.
Pediatrics
2401 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL 36801
Lee County (334) 749-8121
DR. DAVID BRYANT SMALLEY M.D.
Pediatrics
2401 VILLAGE PROFESSIONAL DRIVE
OPELIKA, AL 36801
Lee County (334) 749-8121

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 Pediatric Clinic LLC's NPI number?

The NPI number for Pediatric Clinic LLC is 1134286248. It was assigned to this organization in the NPPES registry on January 2, 2007. The provider was formerly known as Pediatric Clinic.

Where is Pediatric Clinic LLC located?

Pediatric Clinic LLC is located at 2401 Village Professional Drive, Opelika, AL 36801. The listed phone number is (334) 749-8121.

What is Pediatric Clinic LLC's specialty?

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

Does Pediatric Clinic LLC hold CLIA laboratory certificates?

Yes. 3 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 Pediatric Clinic LLC was last updated on August 22, 2020. 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.