SMITH LAKE FAMILY CARE LLC
NPI 1306447776
Nurse Practitioner - Family in Jasper, AL
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 01D2206672
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-19-2027
About SMITH LAKE FAMILY CARE LLC
This page provides the complete NPI Profile along with additional information for Smith Lake Family Care Llc, a provider established in Jasper, Alabama operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1306447776 assigned on November 2020. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Smith Lake Family Care Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Michelle Hawthorne Ms (Credentialing And Billing Manager)
- NPI
- 1306447776 Verify this NPI
- Provider Name
- SMITH LAKE FAMILY CARE LLC
- Entity Type
- Organization
- Location Address
- 6610 CURRY HWY JASPER, AL 35503
- Location Phone
- (205) 878-4800
- Location Fax
- (205) 471-7009
- Mailing Address
- 6610 CURRY HWY JASPER, AL 35503
- Mailing Phone
- (205) 878-4800
- Mailing Fax
- (205) 471-7009
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2020
- Last Update Date
- 09-11-2025
- Code Navigator
A nurse practitioner (NP) like Smith Lake Family Care Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D2206672
- Facility Type
- Physician Office
- Certificate Effective Date
- September 20, 2025
- Certificate Expiration Date
- September 19, 2027
- Laboratory Director
- MR. JONATHAN P. ROBERTSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Smith Lake Family Care Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306447776, enumerated as an "organization" on November 03, 2020.
The provider is located at 6610 CURRY HWY JASPER, AL 35503 and the phone number is (205) 878-4800.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
