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FAIRVIEW FAMILY CLINIC LLC
NPI 1326873514
Family Medicine in Cullman, AL

Active since September 05, 2024CLIA 01D2323198 · Waiver
7 BUTLER ST, CULLMAN, AL 35058(256) 500-4511(256) 500-4512 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2025, Sep 5, 2024 (2 updates tracked since 2024).

About Fairview Family Clinic Llc NPPES

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

FAIRVIEW FAMILY CLINIC LLC (NPI 1326873514) is a healthcare organization registered as a family medicine in Cullman, Alabama and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Misty Patterson, Manager, as its authorized official.

NPPES Registry Identity

NPI1326873514
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRVIEW FAMILY CLINIC LLC
Location Address7 BUTLER STCullman, AL 35058-1200
Mailing AddressPo Box 1370Cullman, AL 35056-1370 · (256) 595-8554 · Fax (256) 500-4512
Phone(256) 500-4511
Fax(256) 500-4512
Organization SubpartNo
Authorized OfficialMisty PattersonManager · (256) 595-8554
Enumeration DateSeptember 5, 2024
Last NPPES UpdateSeptember 5, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1326873514 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.
7 BUTLER ST, Cullman, AL 35058
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Other Identifiers 1

Medicaid361161AL

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)

Fairview Family Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fairview Family Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kindra Edwards, CRNP
Nurse Practitioner
NPI 1912411737
105 FIRE STATION RD
Baileyton, AL 35019
(256) 735-4057
✔ PECOS✔ Accepts Medicare4.4 mi
Tyler Rushforth
Family Practice
NPI 1114436219
1935 ALABAMA HIGHWAY 157 SUITE C
Cullman, AL 35058
(256) 297-3030
✔ PECOS✔ Accepts Medicare7.6 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 01D2323198

Fairview Family Clinic LLC · Cullman, AL
Active · expires May 1, 2027
CLIA Number01D2323198
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2025
Certificate Expiration DateMay 1, 2027
Laboratory DirectorMs. Kindra Edwards
Laboratory Phone(256) 595-8554
Laboratory LocationFairview Family Clinic LLC7 Butler Street, Cullman, AL 35058
CLIA data matches this NPI record on: Address 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 Fairview Family Clinic LLC's NPI number?

The NPI number for Fairview Family Clinic LLC is 1326873514. It was assigned to this organization in the NPPES registry on September 5, 2024.

Where is Fairview Family Clinic LLC located?

Fairview Family Clinic LLC is located at 7 Butler St, Cullman, AL 35058. The listed phone number is (256) 500-4511.

What is Fairview Family Clinic LLC's specialty?

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

Is Fairview Family Clinic LLC enrolled in Medicare?

Yes. Fairview Family Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairview Family Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fairview Family Clinic LLC, in Family Practice and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fairview Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2323198) is associated with this NPI, valid through May 1, 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 Fairview Family Clinic LLC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.