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GRACE INTERNAL MEDICINE, LLC
NPI 1740990886
Clinic/Center - Primary Care in Prattville, AL

Active since November 30, 2022CLIA 01D2274046 · Waiver
102 MEDICAL CENTER DR STE F, PRATTVILLE, AL 36066(334) 568-2335(334) 380-3567 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2023, May 19, 2023, Nov 30, 2022 (3 updates tracked since 2022).

About Grace Internal Medicine, Llc NPPES

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

GRACE INTERNAL MEDICINE, LLC (NPI 1740990886) is a healthcare organization registered as a primary care in Prattville, Alabama and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Vanosia Shablee Faison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740990886
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRACE INTERNAL MEDICINE, LLC
Location Address102 MEDICAL CENTER DR STE FPrattville, AL 36066-7286
Mailing Address102 Medical Center Dr Ste FPrattville, AL 36066-7286 · (334) 568-2335 · Fax (334) 568-2336
Phone(334) 568-2335
Fax(334) 380-3567
Organization SubpartNo
Authorized OfficialVanosia Shablee FaisonCeo · (334) 568-2335
Enumeration DateNovember 30, 2022
Last NPPES UpdateJune 12, 20233 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1740990886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
102 MEDICAL CENTER DR STE F, Prattville, AL 36066
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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 Waiver 01D2274046

Grace Internal Medicine · Prattville, AL
Active · expires Dec 21, 2026
CLIA Number01D2274046
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorVanosia S. Faison
Laboratory Phone(334) 568-2335
Laboratory LocationGrace Internal Medicine102 Medical Center Drive, Prattville, AL 36066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. VANOSIA S. FAISON MD
Internal Medicine
102 MEDICAL CENTER DR STE F
PRATTVILLE, AL 36066
Autauga County (334) 568-2335

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 Grace Internal Medicine, LLC's NPI number?

The NPI number for Grace Internal Medicine, LLC is 1740990886. It was assigned to this organization in the NPPES registry on November 30, 2022.

Where is Grace Internal Medicine, LLC located?

Grace Internal Medicine, LLC is located at 102 Medical Center Dr Ste F, Prattville, AL 36066. The listed phone number is (334) 568-2335.

What is Grace Internal Medicine, LLC's specialty?

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

Does Grace Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2274046) is associated with this NPI, valid through December 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Internal Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Grace Internal Medicine, 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 Grace Internal Medicine, LLC was last updated on June 12, 2023. 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.