GRANT FAMILY PRACTICE CLINIC
NPI 1760530497
Clinic/Center - Rural Health in Grant, AL

Active since January 08, 2007CLIA 01D2087472 · Waiver
5447 MAIN STREET, GRANT, AL 35747(256) 728-2272(256) 728-2282 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grant Family Practice Clinic NPPES

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

GRANT FAMILY PRACTICE CLINIC (NPI 1760530497) is a healthcare organization registered as a rural health in Grant, Alabama and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 24, 2026 and lists Jessica H Gedling, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1760530497
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVIVIAN NELL HANNON
Location Address5447 MAIN STREETGrant, AL 35747-6211
Mailing Address1241 Blount Ave NwGuntersville, AL 35976 · (256) 582-6377 · Fax (256) 582-6376
Fax(256) 728-2282
Organization SubpartNo
Authorized OfficialJessica H GedlingOffice Manager · (256) 582-6377
Enumeration DateJanuary 8, 2007
Last NPPES UpdateMarch 12, 2015
NPI 1760530497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
5447 MAIN STREET, Grant, AL 35747

Other Names 1

Other NameGrant Family Practice Clinic

Other Identifiers 2

Medicaid541003911AL
Medicare ID-Type Unspecified013911AL · Rural Health Id #

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

Grant Family Practice Clinic · Grant, AL
Active · expires Nov 24, 2026
CLIA Number01D2087472
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorDr. Randall K. Stewart MD
Laboratory Phone(256) 728-2272
Laboratory LocationGrant Family Practice Clinic5447 Main Street, Grant, AL 35747
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

The NPI number assigned to this healthcare provider is 1760530497, enumerated as an "organization" on January 08, 2007.

The provider is located at 5447 MAIN STREET GRANT, AL 35747 and the phone number is (256) 728-2272.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.