BY HIS GRACE PRIMARY CARE, LLC
NPI 1073202115
Family Medicine in Enterprise, AL
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
By His Grace Primary Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to By His Grace Primary Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ALFrequently 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.
Is By His Grace Primary Care, LLC enrolled in Medicare?
Yes. By His Grace Primary Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through By His Grace Primary Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to By His Grace Primary Care, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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 3 months 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.
# By His Grace Primary Care, Llc · NPI 1073202115
Family Medicine organization in Enterprise, Alabama. Organization record, active in the CMS NPPES registry since May 4, 2023.
## Identity
- **NPI:** 1073202115 (Entity type: Organization)
- **Enumerated:** May 4, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Samantha Pickett, CRNP/OWNER
## Practice location
- **Address:** 635 N MAIN ST STE A, Enterprise, AL 36330-1748
- **Phone:** (334) 475-2680 · **Fax:** (855) 583-3701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073202115) · Data from the CMS NPPES public registry.