PREVENTIVE CARE MEDICL GROUP
NPI 1780055319
Family Medicine in Talladega, AL

Active since October 08, 2015CLIA 01D2067055 · Waiver
210 NORTH ST W, SUITE E, TALLADEGA, AL 35160(256) 362-0066(256) 362-6700 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Preventive Care Medicl Group NPPES

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

PREVENTIVE CARE MEDICL GROUP (NPI 1780055319) is a healthcare organization registered as a family medicine in Talladega, Alabama and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Anthony Lessa, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780055319
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREVENTIVE CARE MEDICL GROUP
Location Address210 NORTH ST W, SUITE ETalladega, AL 35160-2083
Mailing Address210 North St W, Suite ETalladega, AL 35160-2083 · (256) 362-0066 · Fax (256) 362-6700
Fax(256) 362-6700
Organization SubpartNo
Authorized OfficialAnthony LessaDoctor · (256) 362-0066
Enumeration DateOctober 8, 2015
NPI 1780055319 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.

210 NORTH ST W, Talladega, AL 35160

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 01D2067055

Preventive Care Medical Group LLC · Talladega, AL
Active · expires Oct 7, 2027
CLIA Number01D2067055
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDr. Anthony Lessa MD
Laboratory Phone(256) 362-0066
Laboratory LocationPreventive Care Medical Group LLC210 North Spring Street West Suite C, Talladega, AL 35160
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Medical Specialty)
210 NORTH ST W, SUITE D
TALLADEGA, AL 35160
General Practice
210 NORTH ST W
TALLADEGA, AL 35160
Durable Medical Equipment & Medical Supplies
210 NORTH ST W
TALLADEGA, AL 35160
Pharmacy
210 NORTH ST W
TALLADEGA, AL 35160
Specialist
210 NORTH ST W, SUITE C
TALLADEGA, AL 35160
Internal Medicine (Nephrology)
210 NORTH ST W
TALLADEGA, AL 35160

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 Preventive Care Medicl Group's NPI number?

The NPI number for Preventive Care Medicl Group is 1780055319. It was assigned to this organization in the NPPES registry on October 8, 2015.

Where is Preventive Care Medicl Group located?

Preventive Care Medicl Group is located at 210 North St W Suite E, Talladega, AL 35160. The listed phone number is (256) 362-0066.

What is Preventive Care Medicl Group's specialty?

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

Does Preventive Care Medicl Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2067055) is associated with this NPI, valid through October 7, 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 Preventive Care Medicl Group was last updated on October 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.