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NORTHRIVER PRIMARY CARE ASSOCIATES
NPI 1336474964
Family Medicine in Northport, AL

Active since October 15, 2009CLIA 01D1051758 · Waiver
4310 WATERMELON RD, NORTHPORT, AL 35473(205) 330-5266(205) 330-9915 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2024, Dec 21, 2018 (2 updates tracked since 2018).

About Northriver Primary Care Associates NPPES

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

NORTHRIVER PRIMARY CARE ASSOCIATES (NPI 1336474964) is a healthcare organization registered as a family medicine in Northport, Alabama and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Nicole Jones, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1336474964
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSLCM LLC
Location Address4310 WATERMELON RDNorthport, AL 35473-5166
Mailing Address4310 Watermelon RdNorthport, AL 35473-5166 · (205) 330-5266 · Fax (205) 330-9915
Phone(205) 330-5266
Fax(205) 330-9915
Organization SubpartNo
Authorized OfficialNicole JonesAuthorized Official · (205) 710-6129
Enumeration DateOctober 15, 2009
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1336474964 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.
4310 WATERMELON RD, Northport, AL 35473
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Other Names 1

Doing Business AsNorthriver Primary Care Associates

Other Identifiers 2

Medicaid1336474964AL
OtherDP9610AL · Medicare Railroad

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 MULTIPLE 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 01D1051758

North River Primary Care Associates · North Port, AL
Active · expires May 31, 2028
CLIA Number01D1051758
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Clinton E. Mcentyre
Laboratory Phone(205) 330-5266
Laboratory LocationNorth River Primary Care Associates4310 Watermelon Road, North Port, AL 35473
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

RONALD HARRISON DO
Family Medicine
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 330-5266
ERICA COLLEY NP
Nurse Practitioner (Family)
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 614-6004
ADDISON MOORE
Family Medicine (Sports Medicine)
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 330-5266
AMY MCCOOL WYATT CRNP
Nurse Practitioner
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 330-5266
CLINTON ERLE MCENTYRE M.D.
Family Medicine
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 330-5266
MARY JORDAN CONWAY ARMSTRONG
Nurse Practitioner (Family)
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 330-5266
CAROLINE JORDAN RAINEY RN
Nurse Practitioner (Family)
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 330-5266
SCOTT W KEMP D.O.
Family Medicine
4310 WATERMELON RD
NORTHPORT, AL 35473
Tuscaloosa County (205) 330-5266

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 Slcm LLC's NPI number?

The NPI number for Slcm LLC is 1336474964. It was assigned to this organization in the NPPES registry on October 15, 2009. The provider is doing business as Northriver Primary Care Associates.

Where is Slcm LLC located?

Slcm LLC is located at 4310 Watermelon Rd, Northport, AL 35473. The listed phone number is (205) 330-5266.

What is Slcm LLC's specialty?

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

Does Slcm LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1051758) is associated with this NPI, valid through May 31, 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 Slcm LLC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.