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EAST ALABAMA FAMILY PRACTICE, P.C.
NPI 1386719193
Family Medicine in Opelika, AL

Active since November 21, 2006
2214 GATEWAY DR, SUITE C, OPELIKA, AL 36801(334) 741-0075(334) 741-4075 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2022, Nov 18, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About East Alabama Family Practice, P.c. NPPES

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

EAST ALABAMA FAMILY PRACTICE, P.C. (NPI 1386719193) is a healthcare organization registered as a family medicine in Opelika, Alabama and active in the NPI registry since November 2006. The organization lists Keith Lyle Fuller, President, as its authorized official.

NPPES Registry Identity

NPI1386719193
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST ALABAMA FAMILY PRACTICE, P.C.
Location Address2214 GATEWAY DR, SUITE COpelika, AL 36801-1500
Mailing Address2214 Gateway Dr, Suite COpelika, AL 36801-1500 · (334) 741-0075 · Fax (334) 741-4075
Phone(334) 741-0075
Fax(334) 741-4075
Organization SubpartNo
Authorized OfficialKeith Lyle FullerPresident · (334) 741-0075
Enumeration DateNovember 21, 2006
Last NPPES UpdateDecember 22, 20223 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1386719193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · DO-350
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2214 GATEWAY DR, Opelika, AL 36801
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Other Identifiers 1

Medicaid529602340AL

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

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 Compliance 01D0915549

East Alabama Family Practice · Opelika, AL
Expired · Jul 31, 2026
CLIA Number01D0915549
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorKeith L. Fuller
Laboratory Phone(334) 741-0075
Laboratory LocationEast Alabama Family Practice2214 Gateway Drive Suite C, Opelika, AL 36801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

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

ACE HOME MEDICAL LLC
Durable Medical Equipment & Medical Supplies
2214 GATEWAY DR, SUITE G
OPELIKA, AL 36801
Lee County (334) 745-5751
LEE COUNTY HOME HEALTH LLC
Home Health
2214 GATEWAY DR, SUITE B
OPELIKA, AL 36801
Lee County (334) 745-7966
HORIZONS DIAGNOSTICS, L.L.C.
Specialist
2214 GATEWAY DR, SUITE C
OPELIKA, AL 36801
Lee County (855) 855-9533
ELIZABETH ANNE SMITH KELLEY CRNP
Nurse Practitioner (Family)
2214 GATEWAY DR, #C
OPELIKA, AL 36801
Lee County (334) 741-0075
DR. KEITH LYLE FULLER D.O.
Family Medicine
2214 GATEWAY DR, SUITE C
OPELIKA, AL 36801
Lee County (334) 741-0075
ACE HOME MEDICAL LLC
Durable Medical Equipment & Medical Supplies
2214 GATEWAY DR, SUITE G
OPELIKA, AL 36801
Lee County (334) 745-5751

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 East Alabama Family Practice, P.C.'s NPI number?

The NPI number for East Alabama Family Practice, P.C. is 1386719193. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is East Alabama Family Practice, P.C. located?

East Alabama Family Practice, P.C. is located at 2214 Gateway Dr Suite C, Opelika, AL 36801. The listed phone number is (334) 741-0075.

What is East Alabama Family Practice, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for East Alabama Family Practice, P.C. was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.