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SOUTH ALABAMA FAMILY CARE, LLC
NPI 1649028960
Clinic/Center - Rural Health in Grand Bay, AL

Active since May 10, 2024CLIA 01D2305877 · Waiver
10067 GRAND BAY WILMER RD S STE 100, GRAND BAY, AL 36541(251) 810-9525(251) 810-9536 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2025, Jul 23, 2024, May 10, 2024 (3 updates tracked since 2024).

About South Alabama Family Care, Llc NPPES

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

SOUTH ALABAMA FAMILY CARE, LLC (NPI 1649028960) is a healthcare organization registered as a rural health in Grand Bay, Alabama and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Bridgot Peters, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1649028960
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTH ALABAMA FAMILY CARE, LLC
Location Address10067 GRAND BAY WILMER RD S STE 100Grand Bay, AL 36541-5003
Mailing Address10075 Grand Bay Wilmer Rd SGrand Bay, AL 36541-5003 · (251) 865-1852 · Fax (251) 865-1854
Phone(251) 810-9525
Fax(251) 810-9536
Organization SubpartNo
Authorized OfficialBridgot PetersBilling Director · (251) 445-7618
Enumeration DateMay 10, 2024
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1649028960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
10067 GRAND BAY WILMER RD S STE 100, Grand Bay, AL 36541
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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 01D2305877

South Alabama Family Care · Grand Bay, AL
Active · expires Jun 6, 2028
CLIA Number01D2305877
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorDr. Robert E. Vickers
Laboratory Phone(251) 810-9525
Laboratory LocationSouth Alabama Family Care10067 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.

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 Family Care, LLC's NPI number?

The NPI number for South Alabama Family Care, LLC is 1649028960. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is South Alabama Family Care, LLC located?

South Alabama Family Care, LLC is located at 10067 Grand Bay Wilmer Rd S Ste 100, Grand Bay, AL 36541. The listed phone number is (251) 810-9525.

What is South Alabama Family Care, LLC's specialty?

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

Does South Alabama Family Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2305877) is associated with this NPI, valid through June 6, 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 South Alabama Family Care, LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.