GREENVILLE PEDIATRICS
NPI 1992742860
Nurse Practitioner - Pediatrics in Greenville, AL

Q: What is Pediatric Rural Health Clinics, Inc's NPI number?

The NPI number for Pediatric Rural Health Clinics, Inc is 1992742860. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Greenville Pediatrics.

Q: What is Pediatric Rural Health Clinics, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since June 01, 2006CLIA 01D0937568 · Waiver

46 L V STABLER DR, GREENVILLE, AL 36037(334) 382-9760(334) 383-9331 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greenville Pediatrics NPPES

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

GREENVILLE PEDIATRICS (NPI 1992742860) is a healthcare organization registered as a pediatrics in Greenville, Alabama and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Anne Keen, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1992742860

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NamePEDIATRIC RURAL HEALTH CLINICS, INC

Location Address46 L V STABLER DRGreenville, AL 36037-3804

Mailing Address46 L V Stabler DrGreenville, AL 36037-3804 · (334) 382-9760 · Fax (334) 383-9331

Phone(334) 382-9760

Fax(334) 383-9331

Organization SubpartNo

Authorized OfficialAnne KeenVp Of Operations · (334) 382-9760

Enumeration DateJune 1, 2006

Last NPPES UpdateOctober 11, 2012

✔ NPI 1992742860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in AL · 1-065300✔ Licensed in AL · 01-069655

Also ListedPediatricsTaxonomy 208000000X · License 00006213 (AL), 00024891 (AL), 00006634 (AL)

46 L V STABLER DR, Greenville, AL 36037

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Other Names 1

Doing Business AsGreenville Pediatrics

Other Identifiers 3

Medicare ID-Type Unspecified01-3905AL · Rural Health Mc Prov #

Medicaid541003905AL

Medicaid529800610AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 01D0937568

Greenville Pediatrics Laboratory · Greenville, AL

Active · expires Dec 17, 2027

CLIA Number01D0937568

Laboratory TypePhysician Office

Certificate Effective DateDecember 18, 2025

Certificate Expiration DateDecember 17, 2027

Laboratory DirectorDr. John Sumners MD

Laboratory Phone(334) 382-9760

Laboratory LocationGreenville Pediatrics Laboratory46 Lv Stabler Drive, Greenville, AL 36037

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 7

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

TRINA SIMMONS CRNP

Nurse Practitioner (Family)