EASTSIDE URGENT CARE LLC
NPI 1689091548
Family Medicine in Montgomery, AL

Active since March 27, 2014
14 MITYLENE PARK LN, MONTGOMERY, AL 36117(334) 524-3266 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2018, Jan 19, 2018 (2 updates tracked since 2018).

About Eastside Urgent Care Llc NPPES

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

EASTSIDE URGENT CARE LLC (NPI 1689091548) is a healthcare organization registered as a family medicine in Montgomery, Alabama and active in the NPI registry since March 2014. The organization lists Sai S Namburu, Partner, as its authorized official.

NPPES Registry Identity

NPI1689091548
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEASTSIDE FAMILY CARE LLC
Location Address14 MITYLENE PARK LNMontgomery, AL 36117
Mailing Address14 Mitylene Park LnMontgomery, AL 36117-7306 · (334) 213-4433
Organization SubpartNo
Authorized OfficialSai S NamburuPartner · (334) 524-3266
Enumeration DateMarch 27, 2014
Last NPPES UpdateAugust 8, 20182 updates tracked since enumeration
✔ NPI 1689091548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
14 MITYLENE PARK LN, Montgomery, AL 36117

Other Names 1

Other NameEastside Urgent Care Llc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastside Urgent Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Eastside Urgent Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1437695681
440 TAYLOR RD STE 3380
Montgomery, AL 36117
(334) 242-4116
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1972580744
820 W SOUTH BLVD
Montgomery, AL 36105
(334) 281-1818
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1588022784
151 N 20TH ST
Opelika, AL 36801
(334) 203-1777
✔ PECOS✔ Accepts Medicare48 mi
Family Practice
NPI 1205894003
1025 MEDICAL CENTER PKWY
Selma, AL 36701
(334) 875-8833
✔ PECOS✔ Accepts Medicare51 mi
Family Practice
NPI 1760618003
6613 HICKORY FLAT HWY
Canton, GA 30115
(770) 268-4357
✔ PECOS✔ Accepts Medicare160 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 Eastside Family Care LLC's NPI number?

The NPI number for Eastside Family Care LLC is 1689091548. It was assigned to this organization in the NPPES registry on March 27, 2014. The provider is also known as Eastside Urgent Care LLC.

Where is Eastside Family Care LLC located?

Eastside Family Care LLC is located at 14 Mitylene Park Ln, Montgomery, AL 36117. The listed phone number is (334) 524-3266.

What is Eastside Family Care LLC's specialty?

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

Is Eastside Family Care LLC enrolled in Medicare?

Yes. Eastside Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastside Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Eastside Family Care LLC. 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. The largest specialties are Family Practice (3) and Nurse Practitioner (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastside Family Care LLC 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.