NPIMap

Organization Active NPI

Quad Cities Pediatrics, LLC

  • Pediatrics Physician
  • Muscle Shoals, AL
National Provider Identifier
1982289021
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
QUAD CITIES PEDIATRICS, LLC
Practice address
716 State St
Muscle Shoals, AL 35661-2940
Phone
(256) 826-1800
Fax
(256) 826-0303
NPI assigned
Mar 10, 2021
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Regina Rikard
Title
Office Manager
Phone
(256) 826-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

716 State St
Muscle Shoals, AL 35661-2940

Mailing address

716 State St
Muscle Shoals, AL 35661-2940
Phone (256) 826-1800

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
01D2216245Quad Cities Pediatrics716 State Street, Muscle Shoals, AL 35661Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

101 E Hollywood Ave
Muscle Shoals, AL 35661

1919 Woodward Ave
Muscle Shoals, AL 35661
Phone (256) 826-1800

716 State St
Muscle Shoals, AL 35661
Phone (256) 381-6963

14001 Highway 43
Ste 24
Russellville, AL 35653
Phone (256) 398-7212

Practitioners & affiliated clinicians

Practitioners 9

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": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1982289021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 STATE ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612940",
            "telephone_number": "256-826-1800",
            "fax_number": "256-826-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 STATE ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612940",
            "telephone_number": "256-826-1800",
            "fax_number": "256-826-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-07-12",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "RIKARD",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-826-1800"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.