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NPI · 1649890211 · NPPES-sourced

Southern Grace Medical Care, LLC

ActivePrimary Care Clinic
NPI Number
1649890211
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(256) 797-4118
Primary practice line
Last Updated
Enumerated
Primary practice addressAL · 35801-5126
500 Governors Dr SwHuntsville, AL 35801-5126
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About this NPIWhat this record shows.

NPI 1649890211 is registered to Southern Grace Medical Care, LLC, a healthcare organisation classified as "Primary Care Clinic" and located at 500 Governors Dr Sw in Huntsville, Alabama. The organisation's authorised official is Jimmy Winn. The organisation has been enumerated in the NPI registry since 2020.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 23529AL· Issued by ALABAMA BOARD OF MEDICAL EXAMINERS
  • 8499AL· Issued by ALABAMA BOARD OF NURSING, RX NUMBER
  • 1-159682AL· Issued by ALABAMA BOARD OF NURSING, RN LICENSE NUMBER

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southern Grace Medical Care, LLC accepts. To confirm in-network status with your specific health plan, contact Southern Grace Medical Care, LLC directly at (256) 797-4118.

Frequently asked

Yes. NPI 1649890211 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (256) 797-4118.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southern Grace Medical Care, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
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