NPIMap

Organization Active NPI

Kids Cove Pediatrics, PLLC

Doing business as Dr.

  • Pediatrics Physician
  • Brownsboro, AL
National Provider Identifier
1326699190
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDS COVE PEDIATRICS, PLLC
Doing business as
Dr.
Practice address
5729 Cove Commons Drive SE Suite C
Brownsboro, AL 35741
Phone
(256) 367-2686
Fax
(256) 292-0114
NPI assigned
Sep 24, 2019
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Rhonda B Graham, DONPI 1053659367
Title
Pediatrician
Phone
(256) 367-2686

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

5729 Cove Commons Drive SE Suite C
Brownsboro, AL 35741

Mailing address

5729 Cove Commons Drive SE Suite C
Brownsboro, AL 35741
Phone (256) 367-2686

Other names 1

  • Dr. 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
01D2258143Kids Cove Pediatrics PLLC5729 Cove Commons Dr SE Suite C, Brownsboro, AL 35741Certificate of waiverApr 17, 2028

National Provider Directory

National Provider Directory

Locations

5729 Cove Commons Dr SE
Ste C
Brownsboro, AL 35741
Phone (256) 367-2686

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": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1326699190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5729 COVE COMMONS DRIVE SE SUITE C",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "35741",
            "telephone_number": "256-367-2686",
            "fax_number": "256-292-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5729 COVE COMMONS DRIVE SE SUITE C",
            "city": "BROWNSBORO",
            "state": "AL",
            "postal_code": "35741",
            "telephone_number": "256-367-2686",
            "fax_number": "256-292-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS COVE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "256-367-2686",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsboro, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.