PRICE FAMILY CLINIC
NPI 1477040483
Family Medicine in Waterloo, AL

Active since April 16, 2018
314 MAIN ST, WATERLOO, AL 35677(256) 629-0033(256) 629-0042 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2026, May 3, 2024, Apr 16, 2018 (3 updates tracked since 2018).

About Price Family Clinic NPPES

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

PRICE FAMILY CLINIC (NPI 1477040483), doing business as Petersville Family Care, is a healthcare organization registered as a family medicine in Waterloo, Alabama and active in the NPI registry since April 2018. The organization lists Amanda Diane Price, Owner, as its authorized official.

NPPES Registry Identity

NPI1477040483
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRICE FAMILY CLINIC
Location Address314 MAIN STWaterloo, AL 35677-4401
Mailing Address314 Main StWaterloo, AL 35677-4401 · (256) 629-0033 · Fax (256) 629-0042
Fax(256) 629-0042
Organization SubpartNo
Authorized OfficialAmanda Diane PriceOwner · (256) 629-0033
Enumeration DateApril 16, 2018
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1477040483 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 · 1-01128
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.
314 MAIN ST, Waterloo, AL 35677

Other Names 1

Doing Business AsPetersville Family Care

Other Identifiers 1

Other1265837769AL · Individual Npi

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Price Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Price Family Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1023723053
314 MAIN ST
Waterloo, AL 35677
(256) 629-0033
✔ PECOSSame address
Nurse Practitioner
NPI 1265837769
2929 CLOVERDALE RD
Florence, AL 35633
(256) 366-3551
✔ PECOS22 mi

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

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 Price Family Clinic's NPI number?

The NPI number for Price Family Clinic is 1477040483. It was assigned to this organization in the NPPES registry on April 16, 2018. The provider is doing business as Petersville Family Care.

Where is Price Family Clinic located?

Price Family Clinic is located at 314 Main St, Waterloo, AL 35677. The listed phone number is (256) 629-0033.

What is Price Family Clinic's specialty?

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

Is Price Family Clinic enrolled in Medicare?

Yes. Price Family Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Price Family Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Price Family Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Price Family Clinic was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.