GMUC OF CITRONELLE LLC
NPI 1164794343
Family Medicine in Citronelle, AL
About Gmuc Of Citronelle Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GMUC OF CITRONELLE LLC (NPI 1164794343) is a healthcare organization registered as a family medicine in Citronelle, Alabama and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Darren K Waters, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Gmuc Of Citronelle Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
59Medicare enrollment records show 59 clinicians reassign Medicare billing to Gmuc Of Citronelle LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 59Source: 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 01D2038351
Gmuc Of Citronelle LLC · Citronelle, 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 Gmuc Of Citronelle LLC's NPI number?
The NPI number for Gmuc Of Citronelle LLC is 1164794343. It was assigned to this organization in the NPPES registry on February 2, 2012.
Where is Gmuc Of Citronelle LLC located?
Gmuc Of Citronelle LLC is located at 19355 N 3rd St Suite 104, Citronelle, AL 36522. The listed phone number is (251) 633-0123.
What is Gmuc Of Citronelle LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gmuc Of Citronelle LLC enrolled in Medicare?
Yes. Gmuc Of Citronelle LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gmuc Of Citronelle LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 7 Medicare specialties reassign their Medicare billing to Gmuc Of Citronelle LLC. 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. The largest specialties are Internal Medicine (29), Nurse Practitioner (11) and Family Practice (9). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gmuc Of Citronelle LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2038351) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gmuc Of Citronelle LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Gmuc Of Citronelle 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 Gmuc Of Citronelle LLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gmuc Of Citronelle Llc · NPI 1164794343
Family Medicine organization in Citronelle, Alabama. Organization record, active in the CMS NPPES registry since February 2, 2012.
## Identity
- **NPI:** 1164794343 (Entity type: Organization)
- **Enumerated:** February 2, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Darren Waters, MEDICAL DIRECTOR
## Practice location
- **Address:** 19355 N 3RD ST, SUITE 104, Citronelle, AL 36522-2049
- **Phone:** (251) 633-0123 · **Fax:** (251) 445-3722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 59 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (29), Nurse Practitioner (11), Family Practice (9); [full list](https://npiprofile.com/npi/1164794343/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164794343) · Data from the CMS NPPES public registry.