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UNITED DOCTORS FAMILY MEDICAL CENTER SAND ROCK
NPI 1851976054
Family Medicine in Sandrock, AL

Active since March 10, 2021CLIA 01D2222991 · Waiver
2820 AL HIGHWAY 68 W, SANDROCK, AL 35983(205) 386-4341(256) 523-1503 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2022, Mar 10, 2021 (2 updates tracked since 2021).

About United Doctors Family Medical Center Sand Rock NPPES

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

UNITED DOCTORS FAMILY MEDICAL CENTER SAND ROCK (NPI 1851976054) is a healthcare organization registered as a family medicine in Sandrock, Alabama and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Enrico D Gaspar, Owner, as its authorized official.

NPPES Registry Identity

NPI1851976054
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAGNOLIA MEDICAL LLC
Location Address2820 AL HIGHWAY 68 WSandrock, AL 35983-4200
Mailing Address2820 Al Highway 68 WSandrock, AL 35983-4200 · (256) 523-3627 · Fax (256) 523-1503
Phone(205) 386-4341
Fax(256) 523-1503
Organization SubpartNo
Authorized OfficialEnrico D GasparOwner · (256) 840-8181
Enumeration DateMarch 10, 2021
Last NPPES UpdateApril 9, 20222 updates tracked since enumeration
NPPES CertifiedApril 9, 2022
✔ NPI 1851976054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2820 AL HIGHWAY 68 W, Sandrock, AL 35983
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Other Names 1

Doing Business AsUnited Doctors Family Medical Center Sand Rock

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

United Doctors Family Medical Center Sand Rock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to United Doctors Family Medical Center Sand Rock, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Casey Gossett, CRNP
Nurse Practitioner
NPI 1598519373
2820 AL HIGHWAY 68 W
Sandrock, AL 35983
(362) 725-6523
✔ PECOS✔ Accepts Medicare1.5 mi
Enrico Gaspar, M.D.
Internal Medicine
NPI 1497740492
2986 US HIGHWAY 431
Boaz, AL 35957
(256) 840-8181
✔ PECOS23 mi
Joni Kelley, CRNP
Nurse Practitioner
NPI 1851023543
2986 US HIGHWAY 431
Boaz, AL 35957
(256) 840-8181
✔ PECOS✔ Accepts Medicare23 mi
Ashley Bozarth, CRNP
Nurse Practitioner
NPI 1184439184
7130 6TH AVE
Altoona, AL 35952
(205) 589-1092
✔ PECOS34 mi
Lauren Loveless, CRNP
Nurse Practitioner
NPI 1073198271
180 MEDICAL ST
Snead, AL 35952
(205) 386-4341
✔ PECOS36 mi
Ashley Lackey, CRNP
Nurse Practitioner
NPI 1679847487
19707 US HIGHWAY 280 E APT 1309
Smiths Station, AL 36877
(256) 572-5936
✔ PECOS✔ Accepts Medicare122 mi

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 01D2222991

United Doctors Family Medical Center Sand Rock · Sand Rock, AL
Active · expires May 2, 2027
CLIA Number01D2222991
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorEnrico Y. Gaspar
Laboratory Phone(205) 292-2428
Laboratory LocationUnited Doctors Family Medical Center Sand Rock2820 Al Highway 68 W, Sand Rock, AL 35983
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Magnolia Medical LLC's NPI number?

The NPI number for Magnolia Medical LLC is 1851976054. It was assigned to this organization in the NPPES registry on March 10, 2021. The provider is doing business as United Doctors Family Medical Center Sand Rock.

Where is Magnolia Medical LLC located?

Magnolia Medical LLC is located at 2820 Al Highway 68 W, Sandrock, AL 35983. The listed phone number is (205) 386-4341.

What is Magnolia Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Magnolia Medical LLC enrolled in Medicare?

Yes. Magnolia Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Magnolia Medical 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 (5) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Magnolia Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2222991) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Medical LLC was last updated on April 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.