SOUTHERN GRACE MEDICAL CARE, LLC
NPI 1649890211
Clinic/Center - Primary Care in Huntsville, AL
About Southern Grace Medical Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN GRACE MEDICAL CARE, LLC (NPI 1649890211) is a healthcare organization registered as a primary care in Huntsville, Alabama and active in the NPI registry since April 2020. The organization lists Jimmy Gregory Winn, Family Nurse Practitioner / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Grace Medical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southern Grace Medical Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Southern Grace Medical Care, LLC's NPI number?
The NPI number for Southern Grace Medical Care, LLC is 1649890211. It was assigned to this organization in the NPPES registry on April 23, 2020.
Where is Southern Grace Medical Care, LLC located?
Southern Grace Medical Care, LLC is located at 500 Governors Dr SW, Huntsville, AL 35801. The listed phone number is (256) 797-4118.
What is Southern Grace Medical Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Southern Grace Medical Care, LLC enrolled in Medicare?
Yes. Southern Grace Medical Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Grace Medical Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Southern Grace Medical Care, LLC, in Family Practice and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Grace Medical Care, LLC was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southern Grace Medical Care, Llc · NPI 1649890211
Primary Care organization in Huntsville, Alabama. Organization record, active in the CMS NPPES registry since April 23, 2020.
## Identity
- **NPI:** 1649890211 (Entity type: Organization)
- **Enumerated:** April 23, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jimmy Winn, FAMILY NURSE PRACTITIONER / OWNER
## Practice location
- **Address:** 500 GOVERNORS DR SW, Huntsville, AL 35801-5126
- **Phone:** (256) 797-4118
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2020
- **Other identifiers:** Other 23529 (AL); Other 8499 (AL); Other 1-159682 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1649890211) · Data from the CMS NPPES public registry.