EASTERN SHORE CHILDREN'S CLINIC
NPI 1831151331
Pediatrics in Fairhope, AL

Active since April 03, 2006
150 S INGLESIDE ST, SUITE 7, FAIRHOPE, AL 36532(251) 928-0624(251) 928-0655 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Eastern Shore Children's Clinic NPPES

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

EASTERN SHORE CHILDREN'S CLINIC (NPI 1831151331) is a healthcare organization registered as a pediatrics in Fairhope, Alabama and active in the NPI registry since April 2006. The organization lists Henry Elliot Lee, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831151331
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEASTERN SHORE CHILDREN'S CLINIC
Location Address150 S INGLESIDE ST, SUITE 7Fairhope, AL 36532-1803
Mailing AddressPo Box 989Fairhope, AL 36533-0989 · (251) 928-0624 · Fax (251) 928-0655
Fax(251) 928-0655
Organization SubpartNo
Authorized OfficialHenry Elliot LeeOffice Manager · (251) 928-0624
Enumeration DateApril 3, 2006
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1831151331 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.
150 S INGLESIDE ST, Fairhope, AL 36532

Other Identifiers 1

Medicaid000810930AL

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Shore Children's Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Shore Children's Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1003108150
150 S INGLESIDE ST STE 7
Fairhope, AL 36532
(251) 928-0624
✔ PECOS0.1 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 Eastern Shore Children's Clinic's NPI number?

The NPI number for Eastern Shore Children's Clinic is 1831151331. It was assigned to this organization in the NPPES registry on April 3, 2006.

Where is Eastern Shore Children's Clinic located?

Eastern Shore Children's Clinic is located at 150 S Ingleside St Suite 7, Fairhope, AL 36532. The listed phone number is (251) 928-0624.

What is Eastern Shore Children's Clinic's specialty?

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

Is Eastern Shore Children's Clinic enrolled in Medicare?

Yes. Eastern Shore Children's Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Shore Children's Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Eastern Shore Children's Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Shore Children's Clinic was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.