Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin Lively, MD

Individual provider Pediatrics Physician · NPI 1871976639

Austin Lively, MD is a Pediatrics Physician in Fort Payne, Alabama. Licensed in Alabama and Georgia. Registered with an NPI since 2015.

Licensed in
AL, GA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1359 Old Water Works Rd SW
Fort Payne, AL 35968-3347
Phone: (256) 997-5900
Fax: (888) 977-1691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 37983 (AL)
Pediatrics Physician Taxonomy 208000000X · Licence 080335 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 7481 (GA)

Record details

NPI number1871976639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESAugust 5, 2019
Mailing address1359 Old Water Works Rd Sw, Fort Payne, AL 35968-3347

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