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NORTH DEKALB PRIMARY CARE, LLC
NPI 1851898449
Family Medicine in Valley Head, AL

Active since April 10, 2018CLIA 01D2168162 · Waiver
136 COMMERCE AVE, VALLEY HEAD, AL 35989(256) 674-1052(256) 674-1054 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2020, Apr 10, 2018 (2 updates tracked since 2018).

About North Dekalb Primary Care, Llc NPPES

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

NORTH DEKALB PRIMARY CARE, LLC (NPI 1851898449) is a healthcare organization registered as a family medicine in Valley Head, Alabama and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists John Moore, Owner, as its authorized official.

NPPES Registry Identity

NPI1851898449
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTH DEKALB PRIMARY CARE, LLC
Location Address136 COMMERCE AVEValley Head, AL 35989
Mailing Address38109 Us Highway 11Valley Head, AL 35989-4432 · (256) 996-0540
Phone(256) 674-1052
Fax(256) 674-1054
Organization SubpartNo
Authorized OfficialJohn MooreOwner · (256) 996-0540
Enumeration DateApril 10, 2018
Last NPPES UpdateApril 17, 20232 updates tracked since enumeration
NPPES CertifiedApril 17, 2023
✔ NPI 1851898449 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.
136 COMMERCE AVE, Valley Head, AL 35989
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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 01D2168162

North Dekalb Primary Care · Valley Head, AL
Active · expires Mar 29, 2027
CLIA Number01D2168162
Laboratory TypeIndependent
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorDr. Charles R. Bradford
Laboratory Phone(256) 674-1052
Laboratory LocationNorth Dekalb Primary Care136 Commerce Ave, Valley Head, AL 35989
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

JOHN WAYNE MOORE CRNP
Nurse Practitioner
136 COMMERCE AVE
VALLEY HEAD, AL 35989
Dekalb County (256) 674-1052

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 North Dekalb Primary Care, LLC's NPI number?

The NPI number for North Dekalb Primary Care, LLC is 1851898449. It was assigned to this organization in the NPPES registry on April 10, 2018.

Where is North Dekalb Primary Care, LLC located?

North Dekalb Primary Care, LLC is located at 136 Commerce Ave, Valley Head, AL 35989. The listed phone number is (256) 674-1052.

What is North Dekalb Primary Care, LLC's specialty?

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

Does North Dekalb Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2168162) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Dekalb Primary Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list North Dekalb Primary Care, 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 North Dekalb Primary Care, LLC was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.