South Alabama Medical Clinic, LLC
NPI 1811288038 · Rural Health Clinic/Center · Grand Bay, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South Alabama Medical Clinic, LLC is a Rural Health Clinic/Center organization in Grand Bay, AL (NPI 1811288038).
Provider details
- NPI number
- 1811288038
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bridgot Peters, Director(251) 445-7618
Specialties & taxonomies
Ambulatory Health Care Facilities
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-21
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is South Alabama Medical Clinic, LLC's NPI number?
- South Alabama Medical Clinic, LLC's National Provider Identifier (NPI) is 1811288038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Alabama Medical Clinic, LLC?
- South Alabama Medical Clinic, LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Alabama Medical Clinic, LLC located?
- South Alabama Medical Clinic, LLC's practice location on file with NPPES is 10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541-5003.
- What is South Alabama Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Alabama Medical Clinic, LLC is (251) 865-1852.
- Does South Alabama Medical Clinic, LLC accept Medicare?
- South Alabama Medical Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South Alabama Medical Clinic, LLC?
- The authorized official listed on South Alabama Medical Clinic, LLC's NPPES record is Bridgot Peters, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Alabama Medical Clinic, LLC's NPI active?
- Yes — South Alabama Medical Clinic, LLC's NPI (1811288038) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.