ELKMONT COMMUNITY CARE - NPI 1194207084 - Family Medicine in Elkmont, AL

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Elkmont Community Care NPPES

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

ELKMONT COMMUNITY CARE (NPI 1194207084) is a healthcare organization registered as a family medicine in Elkmont, Alabama and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Sebrina B Holt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1194207084

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameELKMONT COMMUNITY CARE

Location Address25442 AL HIGHWAY 127Elkmont, AL 35620-6608

Mailing Address25442 Al Highway 127Elkmont, AL 35620-6608 · (256) 732-3712 · Fax (256) 732-3714

Phone(256) 732-3712

Fax(256) 732-3714

Organization SubpartNo

Authorized OfficialSebrina B HoltExecutive Director · (256) 216-9648

Enumeration DateSeptember 6, 2018

Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2024

✔ NPI 1194207084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

25442 AL HIGHWAY 127, Elkmont, AL 35620

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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 01D2155940

Elkmont Community Care · Elkmont, AL

Active · expires Oct 8, 2026

CLIA Number01D2155940

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 9, 2024

Certificate Expiration DateOctober 8, 2026

Laboratory DirectorJessica Smith

Laboratory Phone(256) 732-3712

Laboratory LocationElkmont Community Care25442 Al Highway 127, Elkmont, AL 35620

CLIA data matches this NPI record on: Address 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.

LIMESTONE COMMUNITY CARE INC

Nurse Practitioner (Acute Care)