Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BY HIS GRACE PRIMARY CARE, LLC
NPI 1073202115
Family Medicine in Enterprise, AL

Q: What is By His Grace Primary Care, LLC's NPI number?

The NPI number for By His Grace Primary Care, LLC is 1073202115. It was assigned to this organization in the NPPES registry on May 4, 2023.

Q: What is By His Grace Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 04, 2023CLIA 01D2283404 · Waiver

635 N MAIN ST STE A, ENTERPRISE, AL 36330(334) 475-2680(855) 583-3701 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2026, May 4, 2023 (2 updates tracked since 2023).

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About By His Grace Primary Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BY HIS GRACE PRIMARY CARE, LLC (NPI 1073202115) is a healthcare organization registered as a family medicine in Enterprise, Alabama and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Samantha Elizabeth Pickett, Crnp/owner, as its authorized official.

NPPES Registry Identity

NPI1073202115

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBY HIS GRACE PRIMARY CARE, LLC

Location Address635 N MAIN ST STE AEnterprise, AL 36330-1748

Mailing Address635 N Main St Ste 3Enterprise, AL 36330-1748 · (334) 475-2680 · Fax (855) 583-3701

Phone(334) 475-2680

Fax(855) 583-3701

Organization SubpartNo

Authorized OfficialSamantha Elizabeth PickettCrnp/owner · (334) 475-2680

Enumeration DateMay 4, 2023

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1073202115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

635 N MAIN ST STE A, Enterprise, AL 36330

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2283404

By His Grace Primary Care · Enterprise, AL

Active · expires Jun 6, 2027

CLIA Number01D2283404

Laboratory TypePhysician Office

Certificate Effective DateJune 7, 2025

Certificate Expiration DateJune 6, 2027

Laboratory DirectorSamantha Pickett

Laboratory Phone(334) 475-2680

Laboratory LocationBy His Grace Primary Care635 N Main Street, Enterprise, AL 36330

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is By His Grace Primary Care, LLC's NPI number?

The NPI number for By His Grace Primary Care, LLC is 1073202115. It was assigned to this organization in the NPPES registry on May 4, 2023.

Where is By His Grace Primary Care, LLC located?

By His Grace Primary Care, LLC is located at 635 N Main St Ste A, Enterprise, AL 36330. The listed phone number is (334) 475-2680.

What is By His Grace Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does By His Grace Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2283404) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does By His Grace Primary Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list By His Grace Primary Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for By His Grace Primary Care, LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.