SOUTH ALABAMA MEDICAL CLINIC, LLC
SOUTH ALABAMA MEDICAL CLINIC, LLC is a provider specialising in Rural Health Clinic/Center in Grand Bay, AL, registered under NPI 1811288038. This provider registers 8 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 10075 GRAND BAY WILMER RD S, Grand Bay, AL 36541. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1-072232 | AL | General Practice Physician |
This provider holds licence 1-072232 issued in AL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0345428363
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Alabama | O20110622000356 | Part B Supplier - Clinic/group Practice |
| Alabama | O20120214000520 | Part A Provider - Rural Health Clinic |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Rural Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR1300X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QR1300X | Rural Health Clinic/Center Rural Health | — | AL | primary |
| 101YP2500X | Professional Counselor Professional | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 208000000X | Pediatrics Physician | — | — | |
| 208D00000X | General Practice Physician | 1-072232 | AL | |
| 261QM0850X | Adult Mental Health Clinic/Center Adult Mental Health | — | — | |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1811288038 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 21, 2011 |
| Last updated | Aug 29, 2024 |
| Status | Deactivated |
| Sole proprietor | No |
| Practice address |
10075 GRAND BAY WILMER RD S Grand Bay, AL 36541 (251) 865-1852 Fax (251) 865-1854 |
| Other identifiers |
140171
· Other (AL) 129323 · Medicaid (AL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 1 | 1 | 2 | 8 | 8 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 2 | 1 | 4 | 8 | 7 | 0 | 6 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.