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OLYMPUS DIRECT PRIMARY CARE. P.C.
NPI 1619696598
Family Medicine in Fultondale, AL

Active since August 24, 2022CLIA 01D2267067 · Waiver
1311 DECATUR HWY STE C, FULTONDALE, AL 35068(205) 927-5185 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olympus Direct Primary Care. P.c. NPPES

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

OLYMPUS DIRECT PRIMARY CARE. P.C. (NPI 1619696598), doing business as Olympus Direct Primary Care, is a healthcare organization registered as a family medicine in Fultondale, Alabama and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Justin Thomas Cooke, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1619696598
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOLYMPUS DIRECT PRIMARY CARE. P.C.
Location Address1311 DECATUR HWY STE CFultondale, AL 35068-1737
Mailing Address1311 Decatur Hwy Ste CFultondale, AL 35068-1737 · (205) 927-5185
Phone(205) 927-5185
Organization SubpartNo
Authorized OfficialJustin Thomas CookeOwner/president · (484) 788-4788
Enumeration DateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1619696598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1311 DECATUR HWY STE C, Fultondale, AL 35068
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Other Names 1

Doing Business AsOlympus Direct Primary Care

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 01D2267067

Olympus Direct Primary Care · Fultondale, AL
Active · expires Aug 18, 2026
CLIA Number01D2267067
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorJustin T. Cooke
Laboratory Phone(205) 927-5185
Laboratory LocationOlympus Direct Primary Care1311 Decatur Hwy, Suite C, Fultondale, AL 35068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Olympus Direct Primary Care. P.C.'s NPI number?

The NPI number for Olympus Direct Primary Care. P.C. is 1619696598. It was assigned to this organization in the NPPES registry on August 24, 2022. The provider is doing business as Olympus Direct Primary Care.

Where is Olympus Direct Primary Care. P.C. located?

Olympus Direct Primary Care. P.C. is located at 1311 Decatur Hwy Ste C, Fultondale, AL 35068. The listed phone number is (205) 927-5185.

What is Olympus Direct Primary Care. P.C.'s specialty?

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

Does Olympus Direct Primary Care. P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2267067) is associated with this NPI, valid through August 18, 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 Olympus Direct Primary Care. P.C. was last updated on August 24, 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.