Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAIN STREET CLINIC, LLC
NPI 1740895291
Pediatrics in Pell City, AL

Active since September 11, 2020CLIA 01D2190669 · Waiver
1508 COGSWELL AVE, PELL CITY, AL 35125(205) 338-7866(205) 778-4318 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Clinic, Llc NPPES

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

MAIN STREET CLINIC, LLC (NPI 1740895291) is a healthcare organization registered as a pediatrics in Pell City, Alabama and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Muhammad E Ata, Owner, as its authorized official.

NPPES Registry Identity

NPI1740895291
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAIN STREET CLINIC, LLC
Location Address1508 COGSWELL AVEPell City, AL 35125-1243
Mailing Address1508 Cogswell AvePell City, AL 35125-1243
Fax(205) 778-4318
Organization SubpartNo
Authorized OfficialMuhammad E AtaOwner · (205) 338-7866
Enumeration DateSeptember 11, 2020
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1740895291 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.
1508 COGSWELL AVE, Pell City, AL 35125

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 01D2190669

Main Street Clinic LLC · Pell City, AL
Active · expires Aug 17, 2026
CLIA Number01D2190669
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorMuhammad E. Ata
Laboratory Phone(256) 418-4300
Laboratory LocationMain Street Clinic LLC2850 Dr John Haynes Drive, Pell City, AL 35125
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
1508 COGSWELL AVE
PELL CITY, AL 35125
Family Medicine
1508 COGSWELL AVE
PELL CITY, AL 35125
Internal Medicine
1508 COGSWELL AVE
PELL CITY, AL 35125
Clinic/Center (Rural Health)
1508 COGSWELL AVE
PELL CITY, AL 35125
Family Medicine
1508 COGSWELL AVE
PELL CITY, AL 35125
Nurse Practitioner (Family)
1508 COGSWELL AVE
PELL CITY, AL 35125
Nurse Practitioner (Pediatrics)
1508 COGSWELL AVE
PELL CITY, AL 35125

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 Main Street Clinic, LLC's NPI number?

The NPI number for Main Street Clinic, LLC is 1740895291. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Main Street Clinic, LLC located?

Main Street Clinic, LLC is located at 1508 Cogswell Ave, Pell City, AL 35125. The listed phone number is (205) 338-7866.

What is Main Street Clinic, LLC's specialty?

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

Does Main Street Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2190669) is associated with this NPI, valid through August 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Main Street Clinic, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Main Street Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Main Street Clinic, LLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.