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SHOALS PEDIATRIC GROUP PC
NPI 1609971647
Pediatrics in Florence, AL

Active since September 14, 2006CLIA 01D0302538 · Certificate of Compliance
208 ANA DR, FLORENCE, AL 35630(256) 766-3983(256) 764-1554 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shoals Pediatric Group Pc NPPES

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

SHOALS PEDIATRIC GROUP PC (NPI 1609971647) is a healthcare organization registered as a pediatrics in Florence, Alabama and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 23, 2026 and lists Glenda Howard Marks, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1609971647
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHOALS PEDIATRIC GROUP PC
Location Address208 ANA DRFlorence, AL 35630-1750
Mailing Address208 Ana DrFlorence, AL 35630-1750 · (256) 766-3983 · Fax (256) 764-1554
Phone(256) 766-3983
Fax(256) 764-1554
Organization SubpartNo
Authorized OfficialGlenda Howard MarksOffice Manager · (256) 766-3983
Enumeration DateSeptember 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609971647 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.
208 ANA DR, Florence, AL 35630
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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 Compliance 01D0302538

Shoals Pediatric Group · Florence, AL
Active · expires Aug 23, 2026
CLIA Number01D0302538
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorJudy T. Moore
Laboratory Phone(256) 766-3983
Laboratory LocationShoals Pediatric Group208 Ana Drive, Florence, AL 35630
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 4

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

DR. GERALD RICHARD FREEMAN M.D.,PHD.
Pediatrics
208 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 766-3983
DR. JUDY THOMPSON MOORE M.D.
Pediatrics
208 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 766-3983
DR. DANIEL JAMES HAMMOND M.D.
Pediatrics
208 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 766-3983
SARAH VAN KELLEY MD
Pediatrics
208 ANA DR
FLORENCE, AL 35630
Lauderdale County (256) 766-3983

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 Shoals Pediatric Group PC's NPI number?

The NPI number for Shoals Pediatric Group PC is 1609971647. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Shoals Pediatric Group PC located?

Shoals Pediatric Group PC is located at 208 Ana Dr, Florence, AL 35630. The listed phone number is (256) 766-3983.

What is Shoals Pediatric Group PC's specialty?

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

Does Shoals Pediatric Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0302538) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shoals Pediatric Group PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.