GRACE INTERNAL MEDICINE, LLC
NPI 1740990886
Clinic/Center - Primary Care in Prattville, AL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Internal Medicine, 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 Grace Internal Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. 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.
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, 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 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.
Is Grace Internal Medicine, LLC enrolled in Medicare?
Yes. Grace Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Internal Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Grace Internal Medicine, LLC, in Internal Medicine 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
# Grace Internal Medicine, Llc · NPI 1740990886
Primary Care organization in Prattville, Alabama. Organization record, active in the CMS NPPES registry since November 30, 2022.
## Identity
- **NPI:** 1740990886 (Entity type: Organization)
- **Enumerated:** November 30, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Vanosia Faison, CEO
## Practice location
- **Address:** 102 MEDICAL CENTER DR STE F, Prattville, AL 36066-7286
- **Phone:** (334) 568-2335 · **Fax:** (334) 380-3567
## 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), Internal Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740990886) · Data from the CMS NPPES public registry.