Organization Active NPI

Weiss Family Care LLC

  • Rural Health Clinic/Center
  • Leesburg, AL
National Provider Identifier
1275240608
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WEISS FAMILY CARE LLC
Practice address
280 Industrial Blvd
Leesburg, AL 35983-3737
Phone
(256) 526-3323
Fax
(256) 526-3324
NPI assigned
Nov 4, 2022
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Kristie L Burt, NPNPI 1073887659
Title
Owner
Phone
(256) 526-3323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

280 Industrial Blvd
Leesburg, AL 35983-3737

Mailing address

280 Industrial Blvd
Leesburg, AL 35983-3737
Phone (256) 526-3323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230223000129 AL Part B Supplier - Clinic/Group Practice 5890168876 Receives reassigned benefits from 5 practitioners
Practice locations: Leesburg, AL
O20240318003341 AL Part A Provider - Rural Health Clinic 5890168876 Practice locations: Leesburg, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275240608. Details of each certification follow.

Rural health clinic certification: CCN 018976

Legal name
WEISS FAMILY CARE LLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 5, 2024
Last certification
Jun 5, 2024
Ownership / control type
1C
Organization structure
LLCProprietary
Enrollment address
280 Industrial Blvd
Leesburg, AL 35983-3737

National Provider Directory

National Provider Directory
Tax ID family
Weiss Family Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHDDD

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristie L Burt Individual 5% Or Greater Direct Ownership InterestCo-Ceo Sep 29, 2022 50%
Corporate OfficerCo-Ceo Sep 29, 2022 50%
W-2 Managing EmployeeCo-Ceo Sep 29, 2022 50%
Cierra Jennings Individual 5% Or Greater Direct Ownership InterestCo-Ceo Jan 1, 2024 50%
Corporate OfficerCo-Ceo Jan 1, 2024 50%
W-2 Managing EmployeeCo-Ceo Jan 1, 2024 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1275240608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 INDUSTRIAL BLVD",
            "city": "LEESBURG",
            "state": "AL",
            "postal_code": "359833737",
            "telephone_number": "256-526-3323",
            "fax_number": "256-526-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 INDUSTRIAL BLVD",
            "city": "LEESBURG",
            "state": "AL",
            "postal_code": "359833737",
            "telephone_number": "256-526-3323",
            "fax_number": "256-526-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-526-3323",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, AL

Sources for this page

Verify at the official NPI Registry.