AGAPE MEDICAL CLINIC PC
NPI 1174643852
Nurse Practitioner - Family in Hamilton, AL
About Agape Medical Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGAPE MEDICAL CLINIC PC (NPI 1174643852) is a healthcare organization registered as a family in Hamilton, Alabama and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Dorothy E Stidham, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Agape Medical Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Agape Medical Clinic PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 01D1008850
Agape Medical Clinic PC · Hamilton, 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 Agape Medical Clinic PC's NPI number?
The NPI number for Agape Medical Clinic PC is 1174643852. It was assigned to this organization in the NPPES registry on March 29, 2007.
Where is Agape Medical Clinic PC located?
Agape Medical Clinic PC is located at 1911 Military St S, Hamilton, AL 35570. The listed phone number is (205) 952-9603.
What is Agape Medical Clinic PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Agape Medical Clinic PC enrolled in Medicare?
Yes. Agape Medical Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Agape Medical Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Agape Medical Clinic PC. 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 Nurse Practitioner (3) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Agape Medical Clinic PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D1008850) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Agape Medical Clinic PC accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Agape Medical Clinic PC 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 Agape Medical Clinic PC was last updated on November 10, 2022. 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.
# Agape Medical Clinic Pc · NPI 1174643852
Family organization in Hamilton, Alabama. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1174643852 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Dorothy Stidham, PRESIDENT
## Practice location
- **Address:** 1911 MILITARY ST S, Hamilton, AL 35570
- **Phone:** (205) 952-9603 · **Fax:** (205) 952-9661
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2022
- **Other identifiers:** Medicaid 051552982STI (AL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1174643852) · Data from the CMS NPPES public registry.