NPIMap

Organization Active NPI

Athens Limestone Health Services

Doing business as Tots & Teens Clinic

  • Pediatrics Physician
  • Harvest, AL
National Provider Identifier
1104108208
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ATHENS LIMESTONE HEALTH SERVICES
Doing business as
Tots & Teens Clinic
Practice address
15024 E Limestone Rd Ste F
Harvest, AL 35749-7264
Phone
(256) 262-0535
NPI assigned
Sep 14, 2011
Last updated
Jan 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sebrina B Holt
Title
Executive Director
Phone
(256) 216-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

15024 E Limestone Rd Ste F
Harvest, AL 35749-7264

Mailing address

15024 E Limestone Rd Ste F
Harvest, AL 35749-7264
Phone (256) 262-0535

Other names 1

  • Tots & Teens Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2030865Tots and Teens Clinic15024 East Limestone Road, Harvest, AL 35749Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

27669 Capshaw Rd
Ste B2
Harvest, AL 35749
Phone (256) 262-0535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1104108208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15024 E LIMESTONE RD STE F",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357497264",
            "telephone_number": "256-262-0535",
            "fax_number": "256-262-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15024 E LIMESTONE RD STE F",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357497264",
            "telephone_number": "256-262-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS LIMESTONE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "SEBRINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "256-216-9648"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tots & Teens Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvest, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.