PEDIATRIC CLINIC – Pediatrics Physician, NPI 1205977089

PEDIATRIC CLINIC is a healthcare provider. based in Opelika, Alabama. specializing in Pediatrics Physician. The NPI Number for PEDIATRIC CLINIC is 1205977089

Main info

Organization
Name
PEDIATRIC CLINIC
NPI
1205977089
Phone
(334) 749-8121
Address
2401 VILLAGE PROFESSIONAL DRIVE
Authorized Official
DR. DAVID BRYANT SMALLEY OFFICER M.D.
Enumeration Date
12 February 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for PEDIATRIC CLINIC

  • Village Professional Drive, Harwell Hills, Opelika, Lee County, Alabama, 36801, United States

    OPELIKA, AL 368014702

    Phone: (334) 749-8121

    Fax: (334) 749-6166

    Type: Mailing

  • 760, East Glenn Avenue, Auburn, Lee County, Alabama, 36830, United States

    AUBURN, AL 368305017

    Phone: (334) 749-8121

    Fax: (334) 749-6166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36801)

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Reviews

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Frequently asked questions

What unique ID ties claims to PEDIATRIC CLINIC?
NPI 1205977089 is assigned to PEDIATRIC CLINIC under the national enumeration system.
Does this profile mean PEDIATRIC CLINIC is currently active?
Yes — PEDIATRIC CLINIC appears active in the national provider directory.
Does PEDIATRIC CLINIC list a primary specialty?
If you are matching referrals, note Pediatrics Physician for PEDIATRIC CLINIC. Clinical services aligned with this taxonomy classification.
Where is PEDIATRIC CLINIC's primary listing?
We display Opelika, Alabama because that is what the record indicates for PEDIATRIC CLINIC.
Is PEDIATRIC CLINIC a real provider?
This page reflects official NPPES data for NPI 1205977089. Always confirm identity and privileges with the practice and licensing boards.

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