GRANT PRIMARY CARE
NPI 1104149442
Family Medicine in Grant, AL
About Grant Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANT PRIMARY CARE (NPI 1104149442) is a healthcare organization registered as a family medicine in Grant, Alabama and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Kathy B Nelson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grant Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Grant Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 01D0953359
Grant Primary Care · Grant, 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 Marshall Medical Center North's NPI number?
The NPI number for Marshall Medical Center North is 1104149442. It was assigned to this organization in the NPPES registry on March 1, 2010. The provider is doing business as Grant Primary Care.
Where is Marshall Medical Center North located?
Marshall Medical Center North is located at 4500 Main St, Grant, AL 35747. The listed phone number is (256) 728-8600.
What is Marshall Medical Center North's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marshall Medical Center North enrolled in Medicare?
Yes. Marshall Medical Center North is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marshall Medical Center North?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Marshall Medical Center North, in Family Practice 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Marshall Medical Center North hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0953359) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Marshall Medical Center North was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Grant Primary Care · NPI 1104149442
Family Medicine organization in Grant, Alabama. Organization record, active in the CMS NPPES registry since March 1, 2010.
## Identity
- **NPI:** 1104149442 (Entity type: Organization)
- **Enumerated:** March 1, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Marshall Medical Center North
- **Organization subpart:** Yes (part of Marshall Medical Center North)
- **Authorized official:** Kathy Nelson, CFO
## Practice location
- **Address:** 4500 MAIN ST, Grant, AL 35747-8303
- **Phone:** (256) 728-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104149442) · Data from the CMS NPPES public registry.