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KILLEN CLINIC
NPI 1891914362
Family Medicine in Killen, AL

Active since April 24, 2007CLIA 01D0302585 · Waiver
148 J C MAULDIN HWY, KILLEN, AL 35645(256) 757-5353(256) 757-9744 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Killen Clinic NPPES

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

KILLEN CLINIC (NPI 1891914362) is a healthcare organization registered as a family medicine in Killen, Alabama and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists David A Hollis, President, as its authorized official.

NPPES Registry Identity

NPI1891914362
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKILLEN CLINIC
Location Address148 J C MAULDIN HWYKillen, AL 35645-9106
Mailing Address148 J C Mauldin Hwy, P O Box 309Killen, AL 35645-9106 · (256) 757-5353 · Fax (256) 757-9744
Phone(256) 757-5353
Fax(256) 757-9744
Organization SubpartNo
Authorized OfficialDavid A HollisPresident · (256) 757-5353
Enumeration DateApril 24, 2007
Last NPPES UpdateJune 2, 2008
✔ NPI 1891914362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 11228
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.
148 J C MAULDIN HWY, Killen, AL 35645
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Other Identifiers 4

Medicare PIN000012493AL
Medicare PIN1467443424
Medicare PIN1467443424AL
Medicare UPINC72363AL

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 01D0302585

Killen Clinic PC · Killen, AL
Active · expires Jul 20, 2028
CLIA Number01D0302585
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorDavid A. Hollis MD
Laboratory Phone(256) 757-5353
Laboratory LocationKillen Clinic PC148 J C Mauldin Hwy, Killen, AL 35645
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 3

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

VICTORIA CASSON
Nurse Practitioner (Adult Health)
148 J C MAULDIN HWY
KILLEN, AL 35645
Lauderdale County (256) 757-5353
BRITTNAY K MITCHELL CRNP
Nurse Practitioner (Family)
148 J C MAULDIN HWY
KILLEN, AL 35645
Lauderdale County (256) 757-5353
EMMALINE TAYLOR SARTAIN
Nurse Practitioner (Family)
148 J C MAULDIN HWY
KILLEN, AL 35645
Lauderdale County (256) 757-5353

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 Killen Clinic's NPI number?

The NPI number for Killen Clinic is 1891914362. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Killen Clinic located?

Killen Clinic is located at 148 J C Mauldin Hwy, Killen, AL 35645. The listed phone number is (256) 757-5353.

What is Killen Clinic's specialty?

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

Does Killen Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0302585) is associated with this NPI, valid through July 20, 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 Killen Clinic was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.