SOUTH ALABAMA MEDICAL CLINIC LLC
NPI 1386912723
Clinic/Center - Rural Health in Grand Bay, AL

Active since December 13, 2011CLIA 01D2025473 · Waiver
10075 GRAND BAY WILMER RD S, GRAND BAY, AL 36541(251) 865-1852(251) 865-1854 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Alabama Medical Clinic Llc NPPES

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

SOUTH ALABAMA MEDICAL CLINIC LLC (NPI 1386912723) is a healthcare organization registered as a rural health in Grand Bay, Alabama and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Bridgot Peters, Director, as its authorized official.

NPPES Registry Identity

NPI1386912723
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTH ALABAMA MEDICAL CLINIC LLC
Location Address10075 GRAND BAY WILMER RD SGrand Bay, AL 36541-5003
Mailing Address10075 Grand Bay Wilmer Rd SGrand Bay, AL 36541-5003 · (251) 865-1852 · Fax (251) 865-1854
Fax(251) 865-1854
Organization SubpartNo
Authorized OfficialBridgot PetersDirector · (251) 865-1852
Enumeration DateDecember 13, 2011
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1386912723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
10075 GRAND BAY WILMER RD S, Grand Bay, AL 36541

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 01D2025473

South Alabama Medical Clinic LLC · Grand Bay, AL
Active · expires Jun 8, 2027
CLIA Number01D2025473
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorLloyd S. Stokes Ms Cfnp
Laboratory Phone(251) 865-1852
Laboratory LocationSouth Alabama Medical Clinic LLC10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Nurse Practitioner
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Pediatrics
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Nurse Practitioner (Family)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Clinic/Center (Rural Health)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Orthopaedic Surgery
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Internal Medicine
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541
Nurse Practitioner (Family)
10075 GRAND BAY WILMER RD S
GRAND BAY, AL 36541

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 Alabama Medical Clinic LLC's NPI number?

The NPI number for South Alabama Medical Clinic LLC is 1386912723. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is South Alabama Medical Clinic LLC located?

South Alabama Medical Clinic LLC is located at 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541. The listed phone number is (251) 865-1852.

What is South Alabama Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does South Alabama Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2025473) is associated with this NPI, valid through June 8, 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 Alabama Medical Clinic LLC was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.