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FORT PAYNE URGENT CARE, LLC
NPI 1346986015
Nurse Practitioner - Family in Fort Payne, AL

Active since May 06, 2022CLIA 01D2269991 · Waiver
2605 GAULT AVE N STE 200, FORT PAYNE, AL 35967(256) 979-1990(356) 979-1992 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2022, Sep 6, 2022, May 6, 2022 (3 updates tracked since 2022).

About Fort Payne Urgent Care, Llc NPPES

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

FORT PAYNE URGENT CARE, LLC (NPI 1346986015) is a healthcare organization registered as a family in Fort Payne, Alabama and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Luiz Juan, Owner, as its authorized official.

NPPES Registry Identity

NPI1346986015
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFORT PAYNE URGENT CARE, LLC
Location Address2605 GAULT AVE N STE 200Fort Payne, AL 35967-3700
Mailing Address100 Forest Ave NwFort Payne, AL 35967-2054 · (256) 979-1990 · Fax (256) 979-1992
Phone(256) 979-1990
Fax(356) 979-1992
Organization SubpartNo
Authorized OfficialLuiz JuanOwner · (256) 979-1990
Enumeration DateMay 6, 2022
Last NPPES UpdateOctober 16, 20243 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1346986015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
2605 GAULT AVE N STE 200, Fort Payne, AL 35967
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 01D2269991

Fort Payne Urgent Care LLC · Fort Payne, AL
Active · expires Oct 5, 2026
CLIA Number01D2269991
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorMr. Luiz Juan
Laboratory Phone(256) 979-1990
Laboratory LocationFort Payne Urgent Care LLC2605 Gault Avenue N Ste 200, Fort Payne, AL 35967
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SHANNON HILLEY NP
Nurse Practitioner
2605 GAULT AVE N STE 200
FORT PAYNE, AL 35967
Dekalb County (256) 997-2855
FORT PAYNE CLINIC CORP
Durable Medical Equipment & Medical Supplies
2605 GAULT AVE N STE 200
FORT PAYNE, AL 35967
Dekalb County (256) 979-1550
MRS. SHELLY SMITH LANEY CRNP
Nurse Practitioner
2605 GAULT AVE N STE 200
FORT PAYNE, AL 35967
Dekalb County (256) 979-1550
MRS. ANNA BLACK MEDLEY PA-C
Physician Assistant
2605 GAULT AVE N STE 200
FORT PAYNE, AL 35967
Dekalb County (256) 979-1550
LUIZ JUAN CRNP
Nurse Practitioner (Family)
2605 GAULT AVE N STE 200
FORT PAYNE, AL 35967
Dekalb County (256) 996-9121

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 Fort Payne Urgent Care, LLC's NPI number?

The NPI number for Fort Payne Urgent Care, LLC is 1346986015. It was assigned to this organization in the NPPES registry on May 6, 2022.

Where is Fort Payne Urgent Care, LLC located?

Fort Payne Urgent Care, LLC is located at 2605 Gault Ave N Ste 200, Fort Payne, AL 35967. The listed phone number is (256) 979-1990.

What is Fort Payne Urgent Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Fort Payne Urgent Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2269991) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Payne Urgent Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Fort Payne Urgent Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Payne Urgent Care, LLC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.