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MAGNOLIA PEDIATRICS SOUTH INC
NPI 1760442164
Pediatrics - Adolescent Medicine in Birmingham, AL

Active since March 28, 2006CLIA 01D0300671 · Accreditation
1621 11TH AVE S, BIRMINGHAM, AL 35205(205) 930-9500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magnolia Pediatrics South Inc NPPES

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

MAGNOLIA PEDIATRICS SOUTH INC (NPI 1760442164) is a healthcare organization registered as an adolescent medicine in Birmingham, Alabama and active in the NPI registry since March 2006. The organization holds an CLIA Accreditation certificate valid through February 11, 2028 and lists Paul Amamoo, Sect-treasurer, as its authorized official.

NPPES Registry Identity

NPI1760442164
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMAGNOLIA PEDIATRICS SOUTH INC
Location Address1621 11TH AVE SBirmingham, AL 35205-4703
Mailing Address1621 11th Ave SBirmingham, AL 35205-4703
Phone(205) 930-9500
Organization SubpartNo
Authorized OfficialPaul AmamooSect-treasurer · (205) 930-9500
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760442164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1621 11TH AVE S, Birmingham, AL 35205
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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 Accreditation 01D0300671

Magnolia Pediatrics South Inc · Birmingham, AL
Active · expires Feb 11, 2028
CLIA Number01D0300671
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorDr. Jacqueline Stewart
Laboratory Phone(205) 930-9500
Laboratory LocationMagnolia Pediatrics South Inc1621 11th Avenue S, Birmingham, AL 35205
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

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

DR. JACQUELINE W. STEWART M.D.
Pediatrics
1621 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-9500
DR. PAUL AMARTEY AMAMOO MD
Pediatrics (Adolescent Medicine)
1621 11TH AVE S
BIRMINGHAM, AL 35205
Jefferson County (205) 930-9500

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 Magnolia Pediatrics South Inc's NPI number?

The NPI number for Magnolia Pediatrics South Inc is 1760442164. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Magnolia Pediatrics South Inc located?

Magnolia Pediatrics South Inc is located at 1621 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 930-9500.

What is Magnolia Pediatrics South Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Magnolia Pediatrics South Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D0300671) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Pediatrics South Inc 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.