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

Q: What is Fort Payne Pediatrics, LLC's NPI number?

The NPI number for Fort Payne Pediatrics, LLC is 1356746085. It was assigned to this organization in the NPPES registry on October 23, 2014.

Q: What is Fort Payne Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since October 23, 2014

1359 OLD WATER WORKS RD SW, FORT PAYNE, AL 35968(256) 997-5900(256) 997-5995 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 8, 2023, Nov 7, 2017 (2 updates tracked since 2017).

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About Fort Payne Pediatrics, Llc NPPES

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

FORT PAYNE PEDIATRICS, LLC (NPI 1356746085) is a healthcare organization registered as a rural health in Fort Payne, Alabama and active in the NPI registry since October 2014. The organization maintains a secondary practice location in Fort Payne and lists Peter Strogov, President, as its authorized official.

NPPES Registry Identity

NPI1356746085

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameFORT PAYNE PEDIATRICS, LLC

Location Address1359 OLD WATER WORKS RD SWFort Payne, AL 35968-3347

Mailing Address1359 Old Water Works Rd SwFort Payne, AL 35968-3347 · (256) 997-5900 · Fax (256) 997-5995

Phone(256) 997-5900

Fax(256) 997-5995

Organization SubpartNo

Authorized OfficialPeter StrogovPresident · (256) 997-5900

Enumeration DateOctober 23, 2014

Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1356746085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedPediatricsTaxonomy 208000000X

1359 OLD WATER WORKS RD SW, Fort Payne, AL 35968

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Secondary Practice Location 1

Location 11359 Old Waterworks RoadFort Payne, AL 35968-3546 · Phone (256) 997-5900 · Fax (256) 997-5995

Other Identifiers 2

Medicaid177834AL

Medicaid167395AL

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

Other Providers at the Same Location NPPES 17

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

ERICA DANIELLE BLALOCK NP

Nurse Practitioner (Family)