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EASTERN SHORE CHILDREN'S CLINIC, P.C.
NPI 1447614854
Pediatrics in Spanish Fort, AL

Active since April 12, 2016CLIA Certified · 2 labs
9603 STAGECOACH COMMERCIAL PARK CIRCLE, SPANISH FORT, AL 36527(251) 928-0624 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2022, Feb 17, 2021 (2 updates tracked since 2021).

About Eastern Shore Children's Clinic, P.c. NPPES

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

EASTERN SHORE CHILDREN'S CLINIC, P.C. (NPI 1447614854) is a healthcare organization registered as a pediatrics in Spanish Fort, Alabama and active in the NPI registry since April 2016. The organization holds 2 active CLIA laboratory certificates and lists Henry Elliot Lee, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447614854
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEASTERN SHORE CHILDREN'S CLINIC, P.C.
Location Address9603 STAGECOACH COMMERCIAL PARK CIRCLESpanish Fort, AL 36527
Mailing AddressPo Box 989Fairhope, AL 36533-0989 · (251) 928-0624
Phone(251) 928-0624
Organization SubpartNo
Authorized OfficialHenry Elliot LeeOffice Manager · (251) 928-0624
Enumeration DateApril 12, 2016
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1447614854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
9603 STAGECOACH COMMERCIAL PARK CIRCLE, Spanish Fort, AL 36527
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Other Identifiers 1

Medicaid4018429AL

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 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 of Compliance 01D2117879

Eastern Shore Children's Clinic · Spanish Fort, AL
Active · expires Nov 28, 2026
CLIA Number01D2117879
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorDr. Susie Fitzharris
Laboratory Phone(251) 928-0624
Laboratory LocationEastern Shore Children's Clinic9603 Stagecoach Commercial Park Circle, Spanish Fort, AL 36527
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.

Certificate of Compliance 01D0902104

Eastern Shore Children's Clinic · Fairhope, AL
Active · expires Oct 18, 2027
CLIA Number01D0902104
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorDr. Susie Fitzharris
Laboratory Phone(251) 928-0624
Laboratory LocationEastern Shore Children's Clinic7 Medical Park Drive, Fairhope, AL 36532
CLIA data matches this NPI record on: 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.

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 Eastern Shore Children's Clinic, P.C.'s NPI number?

The NPI number for Eastern Shore Children's Clinic, P.C. is 1447614854. It was assigned to this organization in the NPPES registry on April 12, 2016.

Where is Eastern Shore Children's Clinic, P.C. located?

Eastern Shore Children's Clinic, P.C. is located at 9603 Stagecoach Commercial Park Circle, Spanish Fort, AL 36527. The listed phone number is (251) 928-0624.

What is Eastern Shore Children's Clinic, P.C.'s specialty?

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

Does Eastern Shore Children's Clinic, P.C. 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 Eastern Shore Children's Clinic, P.C. was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.