FORT PAYNE PEDIATRICS, LLC
NPI 1356746085
Clinic/Center - Rural Health in Fort Payne, AL

NPI Status: Active since October 23, 2014

Contact Information

1359 OLD WATER WORKS RD SW
FORT PAYNE, AL
ZIP 35968
Phone: (256) 997-5900
Fax: (256) 997-5995

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 01D0865501
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About FORT PAYNE PEDIATRICS, LLC

This page provides the complete NPI Profile along with additional information for Fort Payne Pediatrics, Llc, a primary care provider established in Fort Payne, Alabama operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1356746085 assigned on October 2014. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Peter Strogov M.d. (President)

NPI
1356746085
Provider Name
FORT PAYNE PEDIATRICS, LLC
Entity Type
Organization
Location Address
1359 OLD WATER WORKS RD SW FORT PAYNE, AL 35968
Location Phone
(256) 997-5900
Location Fax
(256) 997-5995
Mailing Address
1359 OLD WATER WORKS RD SW FORT PAYNE, AL 35968
Mailing Phone
(256) 997-5900
Mailing Fax
(256) 997-5995
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2014
Last Update Date
08-08-2023
Code Navigator

A primary care provider (PCP) like Fort Payne Pediatrics, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1359 Old Waterworks Road
    Fort Payne, AL 35968
    (256) 997-5900

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PETER STROGOV M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(256) 997-5900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
177834MEDICAID (05)AL 
167395MEDICAID (05)AL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D0865501
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
ELEANOR I. MATTHEWS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fort Payne Pediatrics, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356746085, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 4 + 4 + 1 + 2 + 0 + 1 + 6 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1356746085.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Family)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Pediatrics)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Psychiatric/Mental Health)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Pediatrics
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Family)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Pediatrics)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Pediatrics)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Family)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Pediatrics
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Pediatrics
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Family)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Family)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Pediatrics)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Psychiatric/Mental Health)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968
Nurse Practitioner (Pediatrics)
1359 OLD WATER WORKS RD SW
FORT PAYNE, AL 35968

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356746085, enumerated as an "organization" on October 23, 2014.

The provider is located at 1359 OLD WATER WORKS RD SW FORT PAYNE, AL 35968 and the phone number is (256) 997-5900.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.