SCOTTSBORO PEDIATRICS PC
NPI 1376966416
Clinic/Center - Primary Care in Scottsboro, AL

Active since January 25, 2014CLIA Certified · 2 labs
1508 S BROAD ST, SUITE 300, SCOTTSBORO, AL 35768(256) 259-3600 Get Directions Write a Review

NPPES record last updated: January 25, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scottsboro Pediatrics Pc NPPES

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

SCOTTSBORO PEDIATRICS PC (NPI 1376966416) is a healthcare organization registered as a primary care in Scottsboro, Alabama and active in the NPI registry since January 2014. The organization holds 2 active CLIA laboratory certificates and lists Muhammad Amjad, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1376966416
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSCOTTSBORO PEDIATRICS PC
Location Address1508 S BROAD ST, SUITE 300Scottsboro, AL 35768-2667
Mailing Address1508 S Broad St, Suite 300Scottsboro, AL 35768-2667 · (256) 259-3600
Organization SubpartNo
Authorized OfficialMuhammad AmjadOwner/physician · (256) 259-3600
Enumeration DateJanuary 25, 2014
✔ NPI 1376966416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AL · 24797
1508 S BROAD ST, Scottsboro, AL 35768

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scottsboro Pediatrics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Scottsboro Pediatrics PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Pediatric Medicine
NPI 1073601340
1508 S BROAD ST STE 300
Scottsboro, AL 35768
(256) 259-3600
✔ PECOSSame address
Family Practice
NPI 1629039045
507 HARLEY STREET
Scottsboro, AL 35768
(256) 259-5550
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1790092906
23800 JOHN T REID PKWY
Scottsboro, AL 35768
(256) 999-0808
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 for Provider-Performed Microscopy Procedures (PPMP) 01D2069836

Scottsboro Pediatrics · Scottsboro, AL
Active · expires Dec 25, 2027
CLIA Number01D2069836
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorDr. Muhammad Amjad
Laboratory Phone(256) 259-3600
Laboratory LocationScottsboro Pediatrics1508 South Broad St Suite 300, Scottsboro, AL 35768
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 01D2112364

Scottsboro Pediatrics · Gurley, AL
Active · expires Apr 27, 2028
CLIA Number01D2112364
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorMuhammad Amjad MD
Laboratory Phone(256) 259-3600
Laboratory LocationScottsboro Pediatrics217 Walker St, Gurley, AL 35748
CLIA data matches this NPI record on: 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 Scottsboro Pediatrics PC's NPI number?

The NPI number for Scottsboro Pediatrics PC is 1376966416. It was assigned to this organization in the NPPES registry on January 25, 2014.

Where is Scottsboro Pediatrics PC located?

Scottsboro Pediatrics PC is located at 1508 S Broad St Suite 300, Scottsboro, AL 35768. The listed phone number is (256) 259-3600.

What is Scottsboro Pediatrics PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Scottsboro Pediatrics PC enrolled in Medicare?

Yes. Scottsboro Pediatrics PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scottsboro Pediatrics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Scottsboro Pediatrics PC, in Family Practice, Nurse Practitioner and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scottsboro Pediatrics PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Scottsboro Pediatrics PC was last updated on January 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.