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

Active since September 15, 2019CLIA 01D2150724 · Certificate of Compliance
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: October 25, 2026.

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

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 holds a CLIA Certificate of Compliance certificate valid through July 12, 2028, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coosa Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Coosa Family Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Jordan Holder, CRNP
Nurse Practitioner
NPI 1124529789
310 W GRAND AVE
Rainbow City, AL 35906
(256) 459-5132
✔ PECOS✔ Accepts MedicareSame address
Stephen Jones, MD
Family Practice
NPI 1124069240
310 W GRAND AVE
Rainbow City, AL 35906
(256) 459-5132
✔ PECOS✔ Accepts MedicareSame address
Adam Alterman, M.D.
Family Practice
NPI 1619177763
501 CLEVELAND AVE
Attalla, AL 35954
(256) 295-3315
✔ PECOS✔ Accepts Medicare4.3 mi
Leslie Peek, FNP-C
Nurse Practitioner
NPI 1912873456
4100 MCCLELLAN BLVD
Anniston, AL 36201
(256) 235-2273
✔ PECOS✔ Accepts Medicare22 mi
Sarah Bullock
Nurse Practitioner
NPI 1730958323
912 SNOW ST
Oxford, AL 36203
(256) 237-1001
✔ PECOS27 mi
Frederick Kelly, MD
Family Practice
NPI 1750327854
310 W GRAND AVE
Rainbow City, AL 35906
(256) 459-5132
✔ PECOS✔ Accepts Medicare

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 Compliance 01D2150724

Coosa Family Care LLC · Rainbow City, AL
Active · expires Jul 12, 2028
CLIA Number01D2150724
Laboratory TypeIndependent
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
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.

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 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.

Where is Coosa Family Care LLC located?

Coosa Family Care LLC is located at 310 W Grand Ave, Rainbow City, AL 35906. The listed phone number is (256) 459-5132.

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.

Is Coosa Family Care LLC enrolled in Medicare?

Yes. Coosa Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coosa Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Coosa Family Care 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. The largest specialties are Family Practice (3) and Nurse Practitioner (3). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coosa Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D2150724) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coosa Family Care LLC was last updated on October 31, 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.