RISE PRIMARY CARE, LLC
NPI 1992551824
Family Medicine in Jacksonville, AL

Active since April 30, 2024CLIA 01D2305382 · Microscopy
1642 PELHAM RD S STE A, JACKSONVILLE, AL 36265(256) 365-1099(256) 365-1052 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rise Primary Care, Llc NPPES

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

RISE PRIMARY CARE, LLC (NPI 1992551824) is a healthcare organization registered as a family medicine in Jacksonville, Alabama and active in the NPI registry since April 2024. The organization holds a CLIA Microscopy certificate valid through May 29, 2028 and lists Morgan Read Martin, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1992551824
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRISE PRIMARY CARE, LLC
Location Address1642 PELHAM RD S STE AJacksonville, AL 36265-3312
Mailing Address1642 Pelham Rd S Ste AJacksonville, AL 36265-3312 · (256) 365-1099 · Fax (256) 365-1052
Fax(256) 365-1052
Organization SubpartNo
Authorized OfficialMorgan Read MartinOwner/md · (256) 365-1099
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1992551824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1642 PELHAM RD S STE A, Jacksonville, AL 36265

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)

Rise Primary Care, 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 Rise Primary Care, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1700464732
1642 PELHAM RD S STE A
Jacksonville, AL 36265
(256) 365-1099
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 01D2305382

Rise Primary Care · Jacksonville, AL
Active · expires May 29, 2028
CLIA Number01D2305382
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorDr. Morgan R. Martin
Laboratory Phone(256) 365-1099
Laboratory LocationRise Primary Care1642 Pelham Rd Suite #a, Jacksonville, AL 36265
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Rise Primary Care, LLC's NPI number?

The NPI number for Rise Primary Care, LLC is 1992551824. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Rise Primary Care, LLC located?

Rise Primary Care, LLC is located at 1642 Pelham Rd S Ste A, Jacksonville, AL 36265. The listed phone number is (256) 365-1099.

What is Rise Primary Care, LLC's specialty?

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

Is Rise Primary Care, LLC enrolled in Medicare?

Yes. Rise Primary Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rise Primary Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rise Primary Care, 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 Rise Primary Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D2305382) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rise Primary Care, LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.