EASTSIDE FAMILY MEDICINE
NPI 1962946970
Family Medicine in Athens, AL

Active since December 09, 2016CLIA 01D0887485 · Microscopy
22289 MEDICAL VILLAGE DR, ATHENS, AL 35613(256) 232-1414 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastside Family Medicine NPPES

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

EASTSIDE FAMILY MEDICINE (NPI 1962946970) is a healthcare organization registered as a family medicine in Athens, Alabama and active in the NPI registry since December 2016. The organization holds a CLIA Microscopy certificate valid through February 19, 2028 and lists Sebrina B Holt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1962946970
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEASTSIDE FAMILY MEDICINE
Location Address22289 MEDICAL VILLAGE DRAthens, AL 35613-2896
Mailing Address22289 Medical Village DrAthens, AL 35613-2896 · (256) 232-1414
Organization SubpartNo
Authorized OfficialSebrina B HoltExecutive Director · (256) 216-9648
Enumeration DateDecember 9, 2016
Last NPPES UpdateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
NPI 1962946970 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.
22289 MEDICAL VILLAGE DR, Athens, AL 35613

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

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 for Provider-Performed Microscopy Procedures (PPMP) 01D0887485

Eastside Family Medicine · Athens, AL
Active · expires Feb 19, 2028
CLIA Number01D0887485
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorMax R. Boone
Laboratory Phone(256) 232-1414
Laboratory LocationEastside Family Medicine22289 Medical Village Drive, Athens, AL 35613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

Family Medicine
22289 MEDICAL VILLAGE DR
ATHENS, AL 35613

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 Eastside Family Medicine's NPI number?

The NPI number for Eastside Family Medicine is 1962946970. It was assigned to this organization in the NPPES registry on December 9, 2016.

Where is Eastside Family Medicine located?

Eastside Family Medicine is located at 22289 Medical Village Dr, Athens, AL 35613. The listed phone number is (256) 232-1414.

What is Eastside Family Medicine's specialty?

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

Does Eastside Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0887485) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eastside Family Medicine accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Eastside Family Medicine 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 Eastside Family Medicine was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.