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LIBERTY MOUNTAIN PEDIATRICS, P.C.
NPI 1487133898
Pediatrics in Birmingham, AL

Active since August 08, 2018CLIA 01D2154250 · Waiver
4600 HIGHWAY 280, BIRMINGHAM, AL 35242(205) 790-1650 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty Mountain Pediatrics, P.c. NPPES

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

LIBERTY MOUNTAIN PEDIATRICS, P.C. (NPI 1487133898) is a healthcare organization registered as a pediatrics in Birmingham, Alabama and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Gregg William Thomas, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487133898
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLIBERTY MOUNTAIN PEDIATRICS, P.C.
Location Address4600 HIGHWAY 280Birmingham, AL 35242-5028
Mailing Address4600 Highway 280Birmingham, AL 35242-5028 · (205) 790-1650
Phone(205) 790-1650
Organization SubpartNo
Authorized OfficialGregg William ThomasAdministrator · (205) 709-1650
Enumeration DateAugust 8, 2018
✔ NPI 1487133898 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.
4600 HIGHWAY 280, Birmingham, AL 35242
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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

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 01D2154250

Liberty Mountain Pediatrics · Birmingham, AL
Active · expires Jun 11, 2028
CLIA Number01D2154250
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorDr. Anne Byars
Laboratory Phone(205) 709-1650
Laboratory LocationLiberty Mountain Pediatrics4600 Hwy 280 S, Suite 103, Birmingham, AL 35242
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 14

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

DR. LARISA VIKTOROVNA RUSSELL M.D.
Family Medicine
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 408-1231
MED HELP 280 LLC
Clinic/Center (Multi-Specialty)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 408-1231
MEDHELP RX LLC
Pharmacy (Community/Retail Pharmacy)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 547-3900
DR. EVAN DANE SMOTHERS D.O.
Family Medicine
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 408-1231
KATHERINE HOWELL TAYLOR NP
Nurse Practitioner (Family)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 408-1231
DR. JORDAN FRANK VAUGHN M.D.
Internal Medicine
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 408-1231
DONALD BLAKE PERRY M.D.
Family Medicine (Sports Medicine)
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 408-1231
ELIZABETH CURRIE STEVENSON M.D.
Family Medicine
4600 HIGHWAY 280
BIRMINGHAM, AL 35242
Shelby County (205) 408-1231

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 Liberty Mountain Pediatrics, P.C.'s NPI number?

The NPI number for Liberty Mountain Pediatrics, P.C. is 1487133898. It was assigned to this organization in the NPPES registry on August 8, 2018.

Where is Liberty Mountain Pediatrics, P.C. located?

Liberty Mountain Pediatrics, P.C. is located at 4600 Highway 280, Birmingham, AL 35242. The listed phone number is (205) 790-1650.

What is Liberty Mountain Pediatrics, P.C.'s specialty?

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

Does Liberty Mountain Pediatrics, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2154250) is associated with this NPI, valid through June 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Liberty Mountain Pediatrics, P.C. was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.