Pediatric Care of Chelsea, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PEDIATRIC CARE OF CHELSEA, LLC

Doing business as

Blanco Pediatrics & Alignment, LLC

Practice address

15582 Highway 280 Ste 110
Chelsea, AL 35043-8361

Phone

(205) 800-8713

NPI assigned

Oct 10, 2022

Organization subpart

No

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

Authorized official

Name

Stephanie VarnerNPI 1285802496

Title

Owner

Phone

(205) 218-8987

Specialties & licenses 1

Addresses

Other names 1

• Blanco Pediatrics & Alignment, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie D Varner, CPNP

  • Pediatric Nurse Practitioner
  • Talladega, AL
  • NPI 1285802496
  Medicare reassignment NPD Authorized official
• Edward Payson Daugherty, DO

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1043252505
  Medicare reassignment NPD

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1699490847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 CHESSER PARK DR",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15582 HIGHWAY 280 STE 110",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350438361",
            "telephone_number": "205-800-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE OF CHELSEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-218-8987"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blanco Pediatrics & Alignment, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Chelsea, AL
• Providers in Chelsea, AL by specialty
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.