EAST MONTGOMERY CHRISTIAN FAMILY MEDICINE, LLC
NPI 1174631766
General Practice in Montgomery, AL

Q: What is East Montgomery Christian Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since August 25, 2006CLIA 01D2169221 · Waiver

129 MITYLENE PARK LN, MONTGOMERY, AL 36117(334) 279-8180(334) 279-8214 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About East Montgomery Christian Family Medicine, Llc NPPES

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

EAST MONTGOMERY CHRISTIAN FAMILY MEDICINE, LLC (NPI 1174631766) is a healthcare organization registered as a general practice in Montgomery, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Ashley D Mcintyre, Owner, as its authorized official.

NPPES Registry Identity

NPI1174631766

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameEAST MONTGOMERY CHRISTIAN FAMILY MEDICINE, LLC

Location Address129 MITYLENE PARK LNMontgomery, AL 36117-7302

Mailing Address129 Mitylene Park LnMontgomery, AL 36117-7302 · (334) 279-8180 · Fax (334) 279-8214

Phone(334) 279-8180

Fax(334) 279-8214

Organization SubpartNo

Authorized OfficialAshley D McintyreOwner · (334) 279-8180

Enumeration DateAugust 25, 2006

Last NPPES UpdateFebruary 9, 2017

✔ NPI 1174631766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AL · 00025985

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

129 MITYLENE PARK LN, Montgomery, AL 36117

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Other Identifiers 3

Medicare PINK447AL

Medicaid009991115AL

Medicare UPINI25793

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 01D2169221

East Montg0mery Christian Family Medicine · Montgomery, AL

Active · expires Jul 16, 2027

CLIA Number01D2169221

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2025

Certificate Expiration DateJuly 16, 2027

Laboratory DirectorAshley D. Mcintyre

Laboratory Phone(334) 279-8180

Laboratory LocationEast Montg0mery Christian Family Medicine129 Mitylene Park Ln, Montgomery, AL 36117

CLIA data matches this NPI record on: Address 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.

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory