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OPTIMUM HEALTH PRIMARY CARE LLC
NPI 1316646482
Family Medicine in Huntsville, AL

Active since February 28, 2023CLIA 01D2276966 · Waiver
1878 JEFF RD NW STE A, HUNTSVILLE, AL 35806(256) 562-8773 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Feb 28, 2023 (2 updates tracked since 2023).

About Optimum Health Primary Care Llc NPPES

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

OPTIMUM HEALTH PRIMARY CARE LLC (NPI 1316646482) is a healthcare organization registered as a family medicine in Huntsville, Alabama and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Elisicia Jiles, Md, as its authorized official.

NPPES Registry Identity

NPI1316646482
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTIMUM HEALTH PRIMARY CARE LLC
Location Address1878 JEFF RD NW STE AHuntsville, AL 35806-4261
Mailing Address1878 Jeff Rd Nw Ste AHuntsville, AL 35806-4261 · (256) 251-5002
Phone(256) 562-8773
Organization SubpartNo
Authorized OfficialElisicia JilesMd · (256) 251-5002
Enumeration DateFebruary 28, 2023
Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1316646482 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.
1878 JEFF RD NW STE A, Huntsville, AL 35806
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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 01D2276966

Optimum Health Primary Care LLC · Huntsville, AL
Active · expires Feb 16, 2027
CLIA Number01D2276966
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorElisicia L. Jiles
Laboratory Phone(256) 251-5002
Laboratory LocationOptimum Health Primary Care LLC1878 Jeff Road, Suite A, Huntsville, AL 35806
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ELISICIA LOUISE TAYLOR JILES M.D.
Family Medicine
1878 JEFF RD NW STE A
HUNTSVILLE, AL 35806
Madison County (256) 562-8773

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 Optimum Health Primary Care LLC's NPI number?

The NPI number for Optimum Health Primary Care LLC is 1316646482. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Optimum Health Primary Care LLC located?

Optimum Health Primary Care LLC is located at 1878 Jeff Rd NW Ste A, Huntsville, AL 35806. The listed phone number is (256) 562-8773.

What is Optimum Health Primary Care LLC's specialty?

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

Does Optimum Health Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2276966) is associated with this NPI, valid through February 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 Optimum Health Primary Care LLC was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.