Organization Active NPI

Your Kids Urgent Care Alabama

  • Pediatrics Physician
  • Vestavia Hills, AL
National Provider Identifier
1306404777
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
YOUR KIDS URGENT CARE ALABAMA
Practice address
790 Montgomery Hwy Ste 112
Vestavia Hills, AL 35216-1873
Phone
(205) 769-6800
Fax
(205) 769-6801
NPI assigned
May 31, 2019
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Michael Cibran
Title
President
Phone
(727) 688-8515

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Urgent Care Clinic/Center 261QU0200X NU
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

790 Montgomery Hwy Ste 112
Vestavia Hills, AL 35216-1873

Mailing address

2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 688-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200131000927 AL Part B Supplier - Clinic/Group Practice 8628404126 Receives reassigned benefits from 9 practitioners
Practice locations: Vestavia Hills, AL

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
01D2170216Your Kids Urgent Care790 Montgomery Hwy Suite 112, Vestavia Hills, AL 35216Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

790 Montgomery Hwy
Ste 112
Vestavia Hills, AL 35216
Phone (205) 769-6800

4040 49th St N
St Petersburg, FL 33709
Phone (727) 526-6483

Practitioners & affiliated clinicians

Practitioners 12

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": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1306404777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138815",
            "telephone_number": "727-688-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 MONTGOMERY HWY STE 112",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352161873",
            "telephone_number": "205-769-6800",
            "fax_number": "205-769-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR KIDS URGENT CARE ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "CIBRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-688-8515"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.