By His Grace Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BY HIS GRACE PRIMARY CARE, LLC

Practice address

635 N Main St Ste a
Enterprise, AL 36330-1748

Phone

(334) 475-2680

Fax

(855) 583-3701

NPI assigned

May 4, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha Elizabeth PickettNPI 1063950319

Title

CRNP/Owner

Phone

(334) 475-2680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Elizabeth Pickett, CRNP

  • Family Nurse Practitioner
  • Enterprise, AL
  • NPI 1063950319

  AL

  Medicare reassignment NPD Authorized official
• Charles Linguiti, M.D.

  • Internal Medicine Physician
  • Brundidge, AL
  • NPI 1902934359

  AL

  Medicare reassignment NPD
• Vicki Senn, CRNP

  • Nurse Practitioner
  • Opp, AL
  • NPI 1881007086

  AL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1073202115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST STE 3",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301748",
            "telephone_number": "334-475-2680",
            "fax_number": "855-583-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N MAIN ST STE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301748",
            "telephone_number": "334-475-2680",
            "fax_number": "855-583-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY HIS GRACE PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CRNP/OWNER",
        "authorized_official_telephone_number": "334-475-2680"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryars-Warren Drug Co
• Bryars-Warren Drug Co, LLC
• Jillian Burgess, PHARMD
• Stacey Burkett, RPH
• Karis Antonia Burks
• Scot C Callahan, MD
• Shelley Nicole Cammarota, FNP-C
• John Campbell, D.O.
• George Robert Cannon Jr.
• Cardinal Dental LLC

• All providers in Enterprise, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.