SAND MOUNTAIN FAMILY PRACTICE CENTER, P. C.
NPI 1255349346
Family Medicine in Albertville, AL

Active since August 04, 2006CLIA 01D0303594 · Waiver
5104 US HIGHWAY 431, ALBERTVILLE, AL 35950(256) 878-8180(256) 891-3693 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sand Mountain Family Practice Center, P. C. NPPES

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

SAND MOUNTAIN FAMILY PRACTICE CENTER, P. C. (NPI 1255349346) is a healthcare organization registered as a family medicine in Albertville, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Michael Wayne Peters, President, as its authorized official.

NPPES Registry Identity

NPI1255349346
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAND MOUNTAIN FAMILY PRACTICE CENTER, P. C.
Location Address5104 US HIGHWAY 431Albertville, AL 35950-0237
Mailing Address5104 Us Highway 431Albertville, AL 35950-0237 · (256) 878-8180 · Fax (256) 891-3693
Fax(256) 891-3693
Organization SubpartNo
Authorized OfficialMichael Wayne PetersPresident · (256) 878-8186
Enumeration DateAugust 4, 2006
Last NPPES UpdateApril 20, 2008
NPI 1255349346 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.

5104 US HIGHWAY 431, Albertville, AL 35950

Other Identifiers 3

Medicare NSC0656550001
Medicare PINC11093
Medicare PIND488

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 01D0303594

Sand Mountain Family Practice Center · Albertville, AL
Active · expires Aug 16, 2027
CLIA Number01D0303594
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorRoan S. Gannon
Laboratory Phone(256) 878-8184
Laboratory LocationSand Mountain Family Practice Center5104 Hwy 431, Albertville, AL 35950
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
5104 US HIGHWAY 431
ALBERTVILLE, AL 35950
Family Medicine
5104 US HIGHWAY 431
ALBERTVILLE, AL 35950
Family Medicine
5104 US HIGHWAY 431
ALBERTVILLE, AL 35950
Nurse Practitioner (Family)
5104 US HIGHWAY 431
ALBERTVILLE, AL 35950

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 Sand Mountain Family Practice Center, P. C.'s NPI number?

The NPI number for Sand Mountain Family Practice Center, P. C. is 1255349346. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Sand Mountain Family Practice Center, P. C. located?

Sand Mountain Family Practice Center, P. C. is located at 5104 Us Highway 431, Albertville, AL 35950. The listed phone number is (256) 878-8180.

What is Sand Mountain Family Practice Center, P. C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sand Mountain Family Practice Center, P. C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0303594) is associated with this NPI, valid through August 16, 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 Sand Mountain Family Practice Center, P. C. was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.