SOUTH BALDWIN FAMILY PRACTICE LLC
NPI 1184666760
Family Medicine in Foley, AL

Active since June 11, 2006CLIA 01D0682071 · Microscopy
202 W ORANGE AVE, FOLEY, AL 36535(251) 943-7237(251) 943-2451 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About South Baldwin Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH BALDWIN FAMILY PRACTICE LLC (NPI 1184666760) is a healthcare organization registered as a family medicine in Foley, Alabama and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through September 4, 2027 and lists Ellis S Allen, Owner, as its authorized official.

NPPES Registry Identity

NPI1184666760
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH BALDWIN FAMILY PRACTICE LLC
Location Address202 W ORANGE AVEFoley, AL 36535-1942
Mailing Address202 W Orange AveFoley, AL 36535-1942 · (251) 943-7237 · Fax (251) 943-2451
Fax(251) 943-2451
Organization SubpartNo
Authorized OfficialEllis S AllenOwner · (251) 943-7237
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1184666760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
202 W ORANGE AVE, Foley, AL 36535

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Baldwin Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to South Baldwin Family Practice LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1598789992
202 W ORANGE AVE
Foley, AL 36535
(251) 943-7237
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841951191
202 W ORANGE AVE
Foley, AL 36535
(251) 943-7237
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659317345
202 W ORANGE AVE
Foley, AL 36535
(251) 943-7237
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316494636
341 GREENO RD N
Fairhope, AL 36532
(251) 928-2401
✔ PECOS✔ Accepts Medicare15 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 01D0682071

South Baldwin Family Practice LLC · Foley, AL
Active · expires Sep 4, 2027
CLIA Number01D0682071
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorEllis S. Allen MD
Laboratory Phone(251) 943-7237
Laboratory LocationSouth Baldwin Family Practice LLC202 West Orange Ave, Foley, AL 36535
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 South Baldwin Family Practice LLC's NPI number?

The NPI number for South Baldwin Family Practice LLC is 1184666760. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is South Baldwin Family Practice LLC located?

South Baldwin Family Practice LLC is located at 202 W Orange Ave, Foley, AL 36535. The listed phone number is (251) 943-7237.

What is South Baldwin Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is South Baldwin Family Practice LLC enrolled in Medicare?

Yes. South Baldwin Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Baldwin Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to South Baldwin Family Practice LLC, 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Baldwin Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0682071) is associated with this NPI, valid through September 4, 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 South Baldwin Family Practice LLC was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.