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CENTRAL PEDIATRICS OF SOMERVILLE LLC
NPI 1336634666
Preferred Provider Organization in Somerville, AL

Active since June 28, 2018CLIA 01D1017123 · Waiver
3609 HIGHWAY 67 S, SOMERVILLE, AL 35670(256) 233-0712 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2018, Jun 28, 2018 (2 updates tracked since 2018).

About Central Pediatrics Of Somerville Llc NPPES

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

CENTRAL PEDIATRICS OF SOMERVILLE LLC (NPI 1336634666) is a healthcare organization registered as a preferred provider organization in Somerville, Alabama and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Christy Thomas Rutherford, Cfo Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1336634666
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameCENTRAL PEDIATRICS OF SOMERVILLE LLC
Location Address3609 HIGHWAY 67 SSomerville, AL 35670
Mailing Address101 Fitness Way Ste 1100Athens, AL 35611-2481 · (256) 233-0712
Phone(256) 233-0712
Organization SubpartNo
Authorized OfficialChristy Thomas RutherfordCfo Office Mgr · (256) 233-0712
Enumeration DateJune 28, 2018
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1336634666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
3609 HIGHWAY 67 S, Somerville, AL 35670
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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 01D1017123

Central Pediatrics Inc · Athens, AL
Active · expires Sep 16, 2027
CLIA Number01D1017123
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorWesley C. Crowell MD
Laboratory Phone(256) 233-0712
Laboratory LocationCentral Pediatrics Inc101 Fitness Way Ste 1100, Athens, AL 35611
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 Central Pediatrics Of Somerville LLC's NPI number?

The NPI number for Central Pediatrics Of Somerville LLC is 1336634666. It was assigned to this organization in the NPPES registry on June 28, 2018.

Where is Central Pediatrics Of Somerville LLC located?

Central Pediatrics Of Somerville LLC is located at 3609 Highway 67 S, Somerville, AL 35670. The listed phone number is (256) 233-0712.

What is Central Pediatrics Of Somerville LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Central Pediatrics Of Somerville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1017123) is associated with this NPI, valid through September 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 Central Pediatrics Of Somerville LLC was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.