FAITH MEDICAL CLINIC LLC
NPI 1487274650
Nurse Practitioner - Family in Rainsville, AL

Active since April 17, 2020
64 MCCURDY AVE N, RAINSVILLE, AL 35986(256) 638-4411(256) 638-9275 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2020, Oct 29, 2020, Oct 2, 2020 and 1 more (4 updates tracked since 2020).

About Faith Medical Clinic Llc NPPES

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

FAITH MEDICAL CLINIC LLC (NPI 1487274650) is a healthcare organization registered as a family in Rainsville, Alabama and active in the NPI registry since April 2020. The organization lists Angela Reynoso, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487274650
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAITH MEDICAL CLINIC LLC
Location Address64 MCCURDY AVE NRainsville, AL 35986-4465
Mailing Address64 Mccurdy Ave NRainsville, AL 35986-4465 · (256) 638-4411 · Fax (256) 638-9275
Fax(256) 638-9275
Organization SubpartNo
Authorized OfficialAngela ReynosoOffice Manager · (256) 638-4411
Enumeration DateApril 17, 2020
Last NPPES UpdateJanuary 28, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1487274650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
64 MCCURDY AVE N, Rainsville, AL 35986

Other Identifiers 1

Medicaid1912470824AL

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

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)

Faith Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Faith Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1427475045
504 MCCURDY AVE S STE 6
Rainsville, AL 35986
(256) 638-9161
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1912470824
1906 GLENN BLVD SW STE 100A
Fort Payne, AL 35968
(256) 638-4411
✔ PECOS✔ Accepts Medicare6.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Faith Medical Clinic LLC's NPI number?

The NPI number for Faith Medical Clinic LLC is 1487274650. It was assigned to this organization in the NPPES registry on April 17, 2020.

Where is Faith Medical Clinic LLC located?

Faith Medical Clinic LLC is located at 64 Mccurdy Ave N, Rainsville, AL 35986. The listed phone number is (256) 638-4411.

What is Faith Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Faith Medical Clinic LLC enrolled in Medicare?

Yes. Faith Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faith Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Faith Medical Clinic 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Faith Medical Clinic LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Faith Medical Clinic 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 Faith Medical Clinic LLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.