COOSA FAMILY CARE LLC
NPI 1578113221
Clinic/Center - Primary Care in Rainbow City, AL

Q: What is Coosa Family Care LLC's NPI number?

The NPI number for Coosa Family Care LLC is 1578113221. It was assigned to this organization in the NPPES registry on September 15, 2019.

Q: What is Coosa Family Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since September 15, 2019

310 W GRAND AVE, RAINBOW CITY, AL 35906(256) 459-5132(256) 459-5179 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2022, Oct 6, 2020, Sep 15, 2019 (3 updates tracked since 2019).

On this page

About Coosa Family Care Llc NPPES

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

COOSA FAMILY CARE LLC (NPI 1578113221) is a healthcare organization registered as a primary care in Rainbow City, Alabama and active in the NPI registry since September 2019. The organization maintains a secondary practice location in Gadsden and lists Kristopher Holder, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1578113221

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOOSA FAMILY CARE LLC

Location Address310 W GRAND AVERainbow City, AL 35906

Mailing Address310 W Grand AveRainbow City, AL 35906 · (256) 459-5132 · Fax (256) 543-1661

Phone(256) 459-5132

Fax(256) 459-5179

Organization SubpartNo

Authorized OfficialKristopher HolderOwner/manager · (256) 459-5132

Enumeration DateSeptember 15, 2019

Last NPPES UpdateOctober 31, 20223 updates tracked since enumeration

NPPES CertifiedOctober 31, 2022

✔ NPI 1578113221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

310 W GRAND AVE, Rainbow City, AL 35906

Open in Google Maps ↗

Secondary Practice Location 1

Location 11024 1st AveGadsden, AL 35901-3544 · Phone (256) 543-7406 · Fax (256) 543-1661

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 Compliance 01D2150724

Coosa Family Care LLC · Rainbow City, AL

Expired · Jul 12, 2026

CLIA Number01D2150724

Laboratory TypeIndependent

Certificate Effective DateJuly 13, 2024

Certificate Expiration DateJuly 12, 2026

Laboratory DirectorDr. Megan Amerson-Brown

Laboratory Phone(256) 613-1764

Laboratory LocationCoosa Family Care LLC310 West Grand Ave, Rainbow City, AL 35906

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

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

JAMES PHILIP GRAHAM M. D.

Family Medicine