EASTERN SHORE INTERNAL MEDICINE, LLC
NPI 1891090403
Internal Medicine in Fairhope, AL

Active since January 13, 2011CLIA 01D2020982 · Waiver
374 GREENO RD S, FAIRHOPE, AL 36532(251) 990-1770(251) 990-1771 Get Directions Write a Review

NPPES record last updated: February 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Shore Internal Medicine, Llc NPPES

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

EASTERN SHORE INTERNAL MEDICINE, LLC (NPI 1891090403) is a healthcare organization registered as an internal medicine in Fairhope, Alabama and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Richard L. Snellgrove, Physician, as its authorized official.

NPPES Registry Identity

NPI1891090403
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEASTERN SHORE INTERNAL MEDICINE, LLC
Location Address374 GREENO RD SFairhope, AL 36532-1916
Mailing Address374 Greeno Rd SFairhope, AL 36532-1916 · (251) 990-1770 · Fax (251) 990-1771
Fax(251) 990-1771
Organization SubpartNo
Authorized OfficialRichard L. SnellgrovePhysician · (251) 990-1770
Enumeration DateJanuary 13, 2011
Last NPPES UpdateFebruary 21, 2011
NPI 1891090403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AL · 00016922
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
374 GREENO RD S, Fairhope, AL 36532

Other Identifiers 5

Other25-10092AL · United Healthcare
Other510-38007AL · Bc/bs
Medicare UPINE51006AL
Medicaid000038007AL
Medicare PIN000038007AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 01D2020982

Eastern Shore Internal Medicine · Fairhope, AL
Active · expires Mar 2, 2027
CLIA Number01D2020982
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorRichard L. Snellgrove
Laboratory Phone(251) 990-1770
Laboratory LocationEastern Shore Internal Medicine24220 Us Hwy 98, Fairhope, AL 36532
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Psychiatry & Neurology (Psychiatry)
374 GREENO RD S
FAIRHOPE, AL 36532
Home Health
374 GREENO RD S
FAIRHOPE, AL 36532
Nurse Practitioner (Psychiatric/Mental Health)
374 GREENO RD S
FAIRHOPE, AL 36532
Home Health
374 GREENO RD S
FAIRHOPE, AL 36532
Hospice Care, Community Based
374 GREENO RD S
FAIRHOPE, AL 36532
Social Worker (Clinical)
374 GREENO RD S
FAIRHOPE, AL 36532
Social Worker (Clinical)
374 GREENO RD S
FAIRHOPE, AL 36532
Counselor (Mental Health)
374 GREENO RD S
FAIRHOPE, AL 36532

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 Eastern Shore Internal Medicine, LLC's NPI number?

The NPI number for Eastern Shore Internal Medicine, LLC is 1891090403. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Eastern Shore Internal Medicine, LLC located?

Eastern Shore Internal Medicine, LLC is located at 374 Greeno Rd S, Fairhope, AL 36532. The listed phone number is (251) 990-1770.

What is Eastern Shore Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Eastern Shore Internal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2020982) is associated with this NPI, valid through March 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 Eastern Shore Internal Medicine, LLC was last updated on February 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.