Price Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1-01128 Issued in AL

Legal business name

PRICE FAMILY CLINIC

Doing business as

Petersville Family Care

Practice address

314 Main St
Waterloo, AL 35677-4401

Phone

(256) 629-0033

Fax

(256) 629-0042

NPI assigned

Apr 16, 2018

Last updated

Jun 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Diane Price, CRNPNPI 1023723053

Title

Owner

Phone

(256) 629-0033

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Petersville Family Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Tax ID family

Petersville Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Price Family Clinic

  • Primary Care Clinic/Center
  • Waterloo, AL
  • NPI 1174453203
  NPD tax ID

Locations

Practitioners 3

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.

• Amanda Diane Price, CRNP

  • Family Medicine Physician
  • Waterloo, AL
  • NPI 1023723053
  Medicare reassignment Care Compare group NPD Authorized official
• Susan Miller

  • Family Nurse Practitioner
  • Florence, AL
  • NPI 1265837769
  Medicare reassignment Care Compare group NPD
• Chasity Beene, CRNP

  • Family Nurse Practitioner
  • Florence, AL
  • NPI 1245861228
  NPD

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1477040483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "city": "WATERLOO",
            "state": "AL",
            "postal_code": "356774401",
            "telephone_number": "256-629-0033",
            "fax_number": "256-629-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "city": "WATERLOO",
            "state": "AL",
            "postal_code": "356774401",
            "telephone_number": "256-629-0033",
            "fax_number": "256-629-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-629-0033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-01128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265837769",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petersville Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Price Family Clinic
• Amanda Diane Price, CRNP
• Cynthia Faye Warren, PHARMACY TECHNICIAN

• Family Medicine Physician in Waterloo, AL
• Providers in Waterloo, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.