South Alabama Medical Clinic, Llc - Medicare Mental Health Clinic in Grand Bay, AL

  1. Home
  2. Mental Health Clinics
  3. AL
  4. Grand Bay
South Alabama Medical Clinic, Llc is a medicare enrolled mental health clinic (Clinic/center - Rural Health) in Grand Bay, Alabama. The current practice location for South Alabama Medical Clinic, Llc is 10075 Grand Bay Wilmer Rd S, Grand Bay, Alabama. For appointments, you can reach them via phone at (251) 865-1852. The mailing address for South Alabama Medical Clinic, Llc is 10075 Grand Bay Wilmer Rd S, Grand Bay, Alabama and phone number is (251) 865-1852.

South Alabama Medical Clinic, Llc is licensed to practice in Alabama (license number ). The clinic also participates in the medicare program and its NPI number is 1811288038. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (251) 865-1852.

Contact Information

South Alabama Medical Clinic, Llc
10075 Grand Bay Wilmer Rd S
Grand Bay
AL 36541-5003
(251) 865-1852
(251) 865-1854

Map and Direction


Mental Health Clinic Profile

Full NameSouth Alabama Medical Clinic, Llc
SpecialityClinic/Center
Location10075 Grand Bay Wilmer Rd S, Grand Bay, Alabama
Authorized Official Name and PositionBridgot Peters (DIRECTOR)
Authorized Official Contact2514457618
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
South Alabama Medical Clinic, Llc
10075 Grand Bay Wilmer Rd S
Grand Bay
AL 36541-5003

Ph: (251) 865-1852		South Alabama Medical Clinic, Llc
10075 Grand Bay Wilmer Rd S
Grand Bay
AL 36541-5003

Ph: (251) 865-1852

NPI Details:

NPI Number1811288038
Provider Enumeration Date04/21/2011
Last Update Date08/29/2024
Certification Date08/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0345428363
Medicare Enrollment IDO20110622000356

Medical Identifiers

Medical identifiers for South Alabama Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811288038NPI-NPPES
140171OtherALRURAL HEALTH MEDICAID
129323MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
208D00000XGeneral Practice 1-072232 (Alabama)Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. South Alabama Medical Clinic, Llc acts as a billing entity for following providers:
Provider NameAmy L Burkhardt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629070503
PECOS PAC ID: 5799727608
Enrollment ID: I20050601000317
Provider NameRobert E Vickers
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982611158
PECOS PAC ID: 8022919448
Enrollment ID: I20050715000546
Provider NameKristina E Ray
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598831422
PECOS PAC ID: 3779677596
Enrollment ID: I20070924000360
Provider NameLloyd S Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457546319
PECOS PAC ID: 6204915556
Enrollment ID: I20080512000385
Provider NameTaniya L Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679669550
PECOS PAC ID: 0648330753
Enrollment ID: I20081119000609
Provider NameGregory R Myrick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972786960
PECOS PAC ID: 9335335942
Enrollment ID: I20101122000963
Provider NameDeanna L Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669719928
PECOS PAC ID: 6204081391
Enrollment ID: I20130220000503
Provider NameBridget D Barnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992951768
PECOS PAC ID: 7517112188
Enrollment ID: I20130305000347
Provider NameChassidy N Hammond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932407004
PECOS PAC ID: 0042520900
Enrollment ID: I20151104001586
Provider NamePenny X Dupre
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417117664
PECOS PAC ID: 2264673219
Enrollment ID: I20151112000722
Provider NameSonia Grevenitis
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720305030
PECOS PAC ID: 9335374321
Enrollment ID: I20180605001549
Provider NameGriffin Frazer Gibson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1104203439
PECOS PAC ID: 3375856693
Enrollment ID: I20180625002078
Provider NameDeanna Seaman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215447750
PECOS PAC ID: 5991050478
Enrollment ID: I20180625002630
Provider NameTimothy Hughes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740223742
PECOS PAC ID: 0143240135
Enrollment ID: I20191118001053
Provider NameAndrew Rockwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447887567
PECOS PAC ID: 1355771932
Enrollment ID: I20200422001950
Provider NameJustin Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932674975
PECOS PAC ID: 7517386691
Enrollment ID: I20200923003183
Provider NameHaley Hespen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245856400
PECOS PAC ID: 6507286358
Enrollment ID: I20201015001845
Provider NameParath Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558938282
PECOS PAC ID: 1557765328
Enrollment ID: I20210802003053
Provider NameTiffany Franklin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568045060
PECOS PAC ID: 4688079379
Enrollment ID: I20210818001931
Provider NameJohn Pybass
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891913455
PECOS PAC ID: 3577695733
Enrollment ID: I20211001002888
Provider NameAshley Edwards Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427797851
PECOS PAC ID: 0648655357
Enrollment ID: I20220916000582
Provider NameMelissa Sprinkle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396360103
PECOS PAC ID: 5597180521
Enrollment ID: I20240112001163
Provider NameConnie Fleming
Provider TypePractitioner - Other (non-physician)
Provider IdentifiersNPI Number: 1083645808
PECOS PAC ID: 8628500634
Enrollment ID: I20241016000193

Reviews and Comments

Clinic/Center in Grand Bay, AL

Ttc, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 12271 Interchange Drive, Grand Bay, AL 36541
Phone: 251-865-0123    Fax: 251-865-0247

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.