WILMER MEDICAL CLINIC, LLC
NPI 1649667577
Clinic/Center - Rural Health in Wilmer, AL
About Wilmer Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILMER MEDICAL CLINIC, LLC (NPI 1649667577) is a healthcare organization registered as a rural health in Wilmer, Alabama and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Kristina Ray, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Wilmer Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Wilmer Medical Clinic, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
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 Waiver 01D2095523
Wilmer Medical Clinic · Wilmer, ALFrequently 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 Wilmer Medical Clinic, LLC's NPI number?
The NPI number for Wilmer Medical Clinic, LLC is 1649667577. It was assigned to this organization in the NPPES registry on April 17, 2015.
Where is Wilmer Medical Clinic, LLC located?
Wilmer Medical Clinic, LLC is located at 6353 2nd St, Wilmer, AL 36587. The listed phone number is (251) 410-7425.
What is Wilmer Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Wilmer Medical Clinic, LLC enrolled in Medicare?
Yes. Wilmer Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wilmer Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Wilmer 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. The largest specialties are Nurse Practitioner (6), Family Practice (2) and Internal Medicine (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wilmer Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2095523) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wilmer Medical Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Wilmer 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 Wilmer Medical Clinic, LLC was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Wilmer Medical Clinic, Llc · NPI 1649667577
Rural Health organization in Wilmer, Alabama. Organization record, active in the CMS NPPES registry since April 17, 2015.
## Identity
- **NPI:** 1649667577 (Entity type: Organization)
- **Enumerated:** April 17, 2015
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Kristina Ray, OWNER
## Practice location
- **Address:** 6353 2ND ST, Wilmer, AL 36587-4453
- **Phone:** (251) 410-7425 · **Fax:** (251) 649-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2), Internal Medicine (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649667577) · Data from the CMS NPPES public registry.