EAST ALABAMA COMMUNITY PRENATAL CLINIC, LLC
NPI 1205777604
Obstetrics & Gynecology - Obstetrics in Valley, AL

Active since April 02, 2026CLIA 01D2344416 · Waiver
4800 48TH ST, VALLEY, AL 36854(334) 710-0091 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About East Alabama Community Prenatal Clinic, Llc NPPES

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

EAST ALABAMA COMMUNITY PRENATAL CLINIC, LLC (NPI 1205777604) is a healthcare organization registered as an obstetrics in Valley, Alabama and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Samuel A. Price, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205777604
Entity TypeOrganization
Primary Taxonomy207VX0000X
Legal Business NameEAST ALABAMA COMMUNITY PRENATAL CLINIC, LLC
Location Address4800 48TH STValley, AL 36854-3666
Mailing Address2000 Pepperell PkwyOpelika, AL 36801-5452 · (334) 710-0091
Organization SubpartYesParent: The East Alabama Health Care Authority
Authorized OfficialSamuel A. PriceCfo · (334) 528-1310
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1205777604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
4800 48TH ST, Valley, AL 36854

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Alabama Community Prenatal Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to East Alabama Community Prenatal Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1043678923
2000 10TH AVE SUITE 100
Columbus, GA 31901
(706) 571-1285
✔ PECOS26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 01D2344416

East Alabama Community Prenatal Clinic · Cottonton, AL
Active · expires May 20, 2028
CLIA Number01D2344416
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorClaire W. Thompson
Laboratory Phone(334) 710-0091
Laboratory LocationEast Alabama Community Prenatal Clinic4800 48th Street, Cottonton, AL 36851
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 East Alabama Community Prenatal Clinic, LLC's NPI number?

The NPI number for East Alabama Community Prenatal Clinic, LLC is 1205777604. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is East Alabama Community Prenatal Clinic, LLC located?

East Alabama Community Prenatal Clinic, LLC is located at 4800 48th St, Valley, AL 36854. The listed phone number is (334) 710-0091.

What is East Alabama Community Prenatal Clinic, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is East Alabama Community Prenatal Clinic, LLC enrolled in Medicare?

Yes. East Alabama Community Prenatal Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Alabama Community Prenatal Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to East Alabama Community Prenatal Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does East Alabama Community Prenatal Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2344416) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Alabama Community Prenatal Clinic, LLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.