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GMUC OF CITRONELLE LLC
NPI 1164794343
Family Medicine in Citronelle, AL

Active since February 02, 2012CLIA 01D2038351 · Waiver
19355 N 3RD ST, SUITE 104, CITRONELLE, AL 36522(251) 633-0123(251) 445-3722 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

NPI1164794343
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGMUC OF CITRONELLE LLC
Location Address19355 N 3RD ST, SUITE 104Citronelle, AL 36522-2049
Mailing Address7943 Moffett RdSemmes, AL 36575-5409 · (251) 633-0123 · Fax (251) 445-3722
Phone(251) 633-0123
Fax(251) 445-3722
Organization SubpartNo
Authorized OfficialDarren K WatersMedical Director · (251) 633-0123
Enumeration DateFebruary 2, 2012
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1164794343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
19355 N 3RD ST, Citronelle, AL 36522
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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 01D2038351

Gmuc Of Citronelle LLC · Citronelle, AL
Active · expires Mar 18, 2028
CLIA Number01D2038351
Laboratory TypeUrgent Care Clinic
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorDarren K. Waters MD
Laboratory Phone(251) 633-0123
Laboratory LocationGmuc Of Citronelle LLC19355 N 3rd St Suite 104, Citronelle, AL 36522
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 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.

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 from Magnolia 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.