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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: October 25, 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
Phone(251) 990-1770
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
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Shore Internal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Shore Internal Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Snellgrove, MD
Internal Medicine
NPI 1366499477
341 GREENO N RD C
Fairhope, AL 36532
(251) 990-1770
✔ PECOS✔ Accepts Medicare1.1 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 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.

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.

Is Eastern Shore Internal Medicine, LLC enrolled in Medicare?

Yes. Eastern Shore Internal Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eastern Shore Internal Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Eastern Shore Internal Medicine, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.