Custom Family Care, LLC
NPI 1053839811 · Family Medicine Physician · Madison, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Custom Family Care, LLC is a Family Medicine Physician organization in Madison, AL (NPI 1053839811).
Provider details
- NPI number
- 1053839811
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ivan Pivovarov, President(256) 325-0480
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Custom Family Care
- Doing business as
- Custom Family Care
Registry dates
- Enumerated
- 2017-08-31
- Last updated
- 2021-06-02
- Certified
- 2021-06-02
Frequently asked questions
- What is Custom Family Care, LLC's NPI number?
- Custom Family Care, LLC's National Provider Identifier (NPI) is 1053839811, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Family Care, LLC?
- Custom Family Care, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Custom Family Care, LLC located?
- Custom Family Care, LLC's practice location on file with NPPES is 279 Hughes Rd, Madison, AL 35758-1142.
- What is Custom Family Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Custom Family Care, LLC is (256) 289-1733.
- Does Custom Family Care, LLC accept Medicare?
- Custom Family Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Custom Family Care, LLC?
- The authorized official listed on Custom Family Care, LLC's NPPES record is Ivan Pivovarov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Family Care, LLC's NPI active?
- Yes — Custom Family Care, LLC's NPI (1053839811) is active in the NPPES registry as of the last update on 2021-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.