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SOUTH ALABAMA PEDIATRICS
NPI 1366567190
Pediatrics in Opp, AL

Active since March 20, 2007CLIA 01D0999566 · Waiver
101 E PAULK AVE, OPP, AL 36467(334) 493-2400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Alabama Pediatrics NPPES

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

SOUTH ALABAMA PEDIATRICS (NPI 1366567190) is a healthcare organization registered as a pediatrics in Opp, Alabama and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Tammy Adams, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366567190
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSOUTH ALABAMA PEDIATRICS
Location Address101 E PAULK AVEOpp, AL 36467-1727
Mailing Address101 E Paulk AveOpp, AL 36467-1727
Phone(334) 493-2400
Organization SubpartNo
Authorized OfficialTammy AdamsOffice Manager · (334) 493-2400
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1366567190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 108
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

101 E PAULK AVE, Opp, AL 36467
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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

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 01D0999566

South Alabama Pediatrics PC · Opp, AL
Active · expires May 15, 2028
CLIA Number01D0999566
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorBhagwan D. Bang MD
Laboratory Phone(334) 493-2400
Laboratory LocationSouth Alabama Pediatrics PC101 East Paulk Avenue, Opp, AL 36467
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 2

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

GOODE MEDICINE LLC
Family Medicine
101 E PAULK AVE, SUITE B
OPP, AL 36467
Covington County (334) 493-0233
BHAGWAN D BANG M.D.
Pediatrics
101 E PAULK AVE, SUITE A
OPP, AL 36467
Covington County (334) 493-2400

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 South Alabama Pediatrics's NPI number?

The NPI number for South Alabama Pediatrics is 1366567190. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is South Alabama Pediatrics located?

South Alabama Pediatrics is located at 101 E Paulk Ave, Opp, AL 36467. The listed phone number is (334) 493-2400.

What is South Alabama Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does South Alabama Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0999566) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Alabama Pediatrics accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list South Alabama Pediatrics 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 South Alabama Pediatrics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.