PEDIATRIC ADOLESCENT MEDICINE, INC.
NPI 1902975899
Pediatrics - Adolescent Medicine in Selma, AL

Active since November 07, 2006CLIA 01D0306147 · Waiver
1107 VOEGLIN AVE, SUITE 202, SELMA, AL 36703(334) 874-4843(334) 874-9598 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pediatric Adolescent Medicine, Inc. NPPES

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

PEDIATRIC ADOLESCENT MEDICINE, INC. (NPI 1902975899) is a healthcare organization registered as an adolescent medicine in Selma, Alabama and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Patricia Ann Kendrick-robinson, M.d., as its authorized official.

NPPES Registry Identity

NPI1902975899
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NamePEDIATRIC ADOLESCENT MEDICINE, INC.
Location Address1107 VOEGLIN AVE, SUITE 202Selma, AL 36703-4301
Mailing Address1107 Voeglin Ave, Suite 202Selma, AL 36703-4301 · (334) 874-4843 · Fax (334) 874-9598
Fax(334) 874-9598
Organization SubpartNo
Authorized OfficialPatricia Ann Kendrick-robinsonM.d. · (334) 874-4843
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1902975899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in AL · 14314
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.

1107 VOEGLIN AVE, Selma, AL 36703

Other Identifiers 1

Other51500362AL · Bcbs

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 01D0306147

Pediatric Adolescent Medicine Inc · Selma, AL
Active · expires Aug 31, 2026
CLIA Number01D0306147
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPatricia Robinson MD
Laboratory Phone(334) 874-4843
Laboratory LocationPediatric Adolescent Medicine Inc618 Medical Center Pkwy Suite A, Selma, AL 36701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
1107 VOEGLIN AVE
SELMA, AL 36703
Pediatrics (Adolescent Medicine)
1107 VOEGLIN AVE, SUITE 202
SELMA, AL 36703

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 Pediatric Adolescent Medicine, Inc.'s NPI number?

The NPI number for Pediatric Adolescent Medicine, Inc. is 1902975899. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Pediatric Adolescent Medicine, Inc. located?

Pediatric Adolescent Medicine, Inc. is located at 1107 Voeglin Ave Suite 202, Selma, AL 36703. The listed phone number is (334) 874-4843.

What is Pediatric Adolescent Medicine, Inc.'s specialty?

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

Does Pediatric Adolescent Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0306147) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Adolescent Medicine, Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.