SOUTHERN BLESSINGS ADULT AND PEDIATRIC HOUSECALL LLC
NPI 1740877257
Family Medicine in Jasper, AL

Q: What is Southern Blessings Adult And Pediatric Housecall LLC's specialty?

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

Active since December 30, 2020CLIA 01D2225138 · Waiver

1402 PINEVIEW RD, JASPER, AL 35504(606) 302-1233 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southern Blessings Adult And Pediatric Housecall Llc NPPES

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

SOUTHERN BLESSINGS ADULT AND PEDIATRIC HOUSECALL LLC (NPI 1740877257) is a healthcare organization registered as a family medicine in Jasper, Alabama and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Tiffany Tolliver, Owner, as its authorized official.

NPPES Registry Identity

NPI1740877257

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSOUTHERN BLESSINGS ADULT AND PEDIATRIC HOUSECALL LLC

Location Address1402 PINEVIEW RDJasper, AL 35504-8906

Mailing Address1402 Pineview RdJasper, AL 35504-8906 · (606) 302-1233

Phone(606) 302-1233

Organization SubpartNo

Authorized OfficialTiffany TolliverOwner · (606) 302-1233

Enumeration DateDecember 30, 2020

NPPES CertifiedDecember 30, 2020

✔ NPI 1740877257 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.

1402 PINEVIEW RD, Jasper, AL 35504

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Blessings Adult And Pediatric Housecall Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateAlabamaEnrollment IDO20211210001611Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Blessings Adult And Pediatric Housecall LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Tiffany Tolliver

Nurse Practitioner

NPI 1003473877

508 DEER RIDGE RUN
Jasper, AL 35503

(606) 302-1233

✔ PECOS✔ Accepts Medicare6.9 mi

Julie Knop

Nurse Practitioner

NPI 1275038549

4208 EVA RD STE B
Eva, AL 35621

(256) 735-4154

✔ PECOS✔ Accepts Medicare43 mi

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

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 01D2225138

Southern Blessing Adult And Pediatric Housecall Ll · Jasper, AL

Active · expires May 18, 2027

CLIA Number01D2225138

Laboratory TypePractitioner Other

Certificate Effective DateMay 19, 2025

Certificate Expiration DateMay 18, 2027

Laboratory DirectorTiffany Tolliver

Laboratory Phone(606) 302-1233

Laboratory LocationSouthern Blessing Adult And Pediatric Housecall Ll300 N Airport Rd, Suite 2, Jasper, AL 35504

CLIA data matches this NPI record on: 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 Southern Blessings Adult And Pediatric Housecall LLC's NPI number?

The NPI number for Southern Blessings Adult And Pediatric Housecall LLC is 1740877257. It was assigned to this organization in the NPPES registry on December 30, 2020.

Where is Southern Blessings Adult And Pediatric Housecall LLC located?

Southern Blessings Adult And Pediatric Housecall LLC is located at 1402 Pineview Rd, Jasper, AL 35504. The listed phone number is (606) 302-1233.

What is Southern Blessings Adult And Pediatric Housecall LLC's specialty?

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

Is Southern Blessings Adult And Pediatric Housecall LLC enrolled in Medicare?

Yes. Southern Blessings Adult And Pediatric Housecall LLC is registered in the Medicare PECOS enrollment system.

When is Southern Blessings Adult And Pediatric Housecall LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Southern Blessings Adult And Pediatric Housecall LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Southern Blessings Adult And Pediatric Housecall 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Blessings Adult And Pediatric Housecall LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2225138) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Blessings Adult And Pediatric Housecall LLC was last updated on December 30, 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.