KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE
NPI 1154810224
Pediatrics - Adolescent Medicine in Talladega, AL

Active since May 04, 2018CLIA 01D2148957 · Certificate of Compliance
119 STEPHEN J WHITE MEMORIAL BLVD, TALLADEGA, AL 35160(256) 268-7775 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kids Clinic Pediatric And Adolescent Medicine NPPES

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

KIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE (NPI 1154810224) is a healthcare organization registered as an adolescent medicine in Talladega, Alabama and active in the NPI registry since May 2018. The organization holds a CLIA Certificate of Compliance certificate valid through June 11, 2027 and lists Muhammed Khurram Siddiqui, Owner, as its authorized official.

NPPES Registry Identity

NPI1154810224
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameKIDS CLINIC PEDIATRIC AND ADOLESCENT MEDICINE
Location Address119 STEPHEN J WHITE MEMORIAL BLVDTalladega, AL 35160-2106
Mailing Address119 Stephen J White Memorial BlvdTalladega, AL 35160-2106 · (256) 268-7775 · Fax (256) 268-7760
Organization SubpartNo
Authorized OfficialMuhammed Khurram SiddiquiOwner · (256) 268-7775
Enumeration DateMay 4, 2018
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1154810224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

119 STEPHEN J WHITE MEMORIAL BLVD, Talladega, AL 35160

Other Identifiers 2

Medicaid000032739AL
OtherG50661Upin

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 Compliance 01D2148957

Kids Clinic · Talladega, AL
Active · expires Jun 11, 2027
CLIA Number01D2148957
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorMuhammed K. Siddiqui
Laboratory Phone(205) 268-7775
Laboratory LocationKids Clinic119 Stephen J White Memorial Blvd, Talladega, AL 35160
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

Pediatrics
119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL 35160
Health Maintenance Organization
119 STEPHEN J WHITE MEMORIAL BLVD
TALLADEGA, AL 35160

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 Kids Clinic Pediatric And Adolescent Medicine's NPI number?

The NPI number for Kids Clinic Pediatric And Adolescent Medicine is 1154810224. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Kids Clinic Pediatric And Adolescent Medicine located?

Kids Clinic Pediatric And Adolescent Medicine is located at 119 Stephen J White Memorial Blvd, Talladega, AL 35160. The listed phone number is (256) 268-7775.

What is Kids Clinic Pediatric And Adolescent Medicine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Kids Clinic Pediatric And Adolescent Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D2148957) is associated with this NPI, valid through June 11, 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 Kids Clinic Pediatric And Adolescent Medicine was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.