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SUMMIT PEDIATRIC CLINIC, LLC
NPI 1184776551
Pediatrics in Sylacauga, AL

Active since January 17, 2007CLIA 01D0912952 · Waiver
115 W CLAY ST, SYLACAUGA, AL 35150(256) 245-3267(256) 245-2315 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Pediatric Clinic, Llc NPPES

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

SUMMIT PEDIATRIC CLINIC, LLC (NPI 1184776551) is a healthcare organization registered as a pediatrics in Sylacauga, Alabama and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Cynthia Dark, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184776551
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSYLACAUGA PEDIATRIC CLINIC, LLC
Location Address115 W CLAY STSylacauga, AL 35150-3413
Mailing Address115 W Clay StSylacauga, AL 35150-3413 · (256) 245-3267 · Fax (256) 245-2315
Phone(256) 245-3267
Fax(256) 245-2315
Organization SubpartNo
Authorized OfficialCynthia DarkOffice Manager · (256) 245-3267
Enumeration DateJanuary 17, 2007
Last NPPES UpdateSeptember 22, 2014
✔ NPI 1184776551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 21818
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.
115 W CLAY ST, Sylacauga, AL 35150
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Other Names 1

Doing Business AsSummit Pediatric Clinic, Llc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 01D0912952

Sylacauga Pediatric Clinic LLC Rhc · Sylacauga, AL
Active · expires Mar 17, 2028
CLIA Number01D0912952
Laboratory TypeOther
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorRehka Chadalawada MD
Laboratory Phone(256) 245-3267
Laboratory LocationSylacauga Pediatric Clinic LLC Rhc115 West Clay Street, Sylacauga, AL 35150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 01D0300405

Sylacauga Pediatric Clinic LLC · Sylacauga, AL
Expired · Jun 30, 2026
CLIA Number01D0300405
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2024
Certificate Expiration DateJune 30, 2026
Laboratory DirectorDr. David W. Hardy
Laboratory Phone(256) 245-3267
Laboratory LocationSylacauga Pediatric Clinic LLC115 West Clay Street, Sylacauga, AL 35150
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.

Other Providers at the Same Location NPPES 8

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

DAVID HARDY MD
Pediatrics
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-3267
ASHLEY NICOLE ZEIGLER MSN, CRNP, CPNP-PC
Nurse Practitioner (Pediatrics)
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-3267
ASHLEY LAUREN WATTS CRNP
Nurse Practitioner (Pediatrics)
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-2315
FRANKIE H WALLIS
Nurse Practitioner (Family)
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-3267
MRS. JULIE EVELYN BOYCOTT CRNP
Nurse Practitioner (Family)
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-3267
MRS. DARLENE MATHIS CRNP
Nurse Practitioner (Family)
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-3267
MS. REKHA CHADALAWADA M.D.
Specialist
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-3267
SYLACAUGA PEDIATRIC CLINIC, LLC
Clinic/Center (Rural Health)
115 W CLAY ST
SYLACAUGA, AL 35150
Talladega County (256) 245-3267

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 Sylacauga Pediatric Clinic, LLC's NPI number?

The NPI number for Sylacauga Pediatric Clinic, LLC is 1184776551. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Summit Pediatric Clinic, LLC.

Where is Sylacauga Pediatric Clinic, LLC located?

Sylacauga Pediatric Clinic, LLC is located at 115 W Clay St, Sylacauga, AL 35150. The listed phone number is (256) 245-3267.

What is Sylacauga Pediatric Clinic, LLC's specialty?

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

Does Sylacauga Pediatric Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0912952) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sylacauga Pediatric Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Sylacauga Pediatric Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sylacauga Pediatric Clinic, LLC was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.