NPIMap

Organization Active NPI

Family First Primary Care Alabama LLC

  • Rural Health Clinic/Center
  • Morris, AL
National Provider Identifier
1104789494
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAMILY FIRST PRIMARY CARE ALABAMA LLC
Practice address
584 Morris Majestic Rd
Morris, AL 35116-1245
Phone
(205) 795-0010
NPI assigned
Dec 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Jewel Kirk, CRNPNPI 1629325618
Title
Owner/CRNP
Phone
(205) 368-5972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

584 Morris Majestic Rd
Morris, AL 35116-1245

Mailing address

9288 Stouts Rd
Kimberly, AL 35091-2005
Phone (205) 795-0010

Other practice location 1

9288 Stouts Rd
Kimberly, AL 35091-2005
Phone (205) 795-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260403002462 AL Part B Supplier - Clinic/Group Practice 0446735732 Receives reassigned benefits from 6 practitioners
Practice locations: Kimberly, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1104789494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9288 STOUTS RD",
            "city": "KIMBERLY",
            "state": "AL",
            "postal_code": "350912005",
            "telephone_number": "205-795-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 MORRIS MAJESTIC RD",
            "city": "MORRIS",
            "state": "AL",
            "postal_code": "351161245",
            "telephone_number": "205-795-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9288 Stouts Rd",
            "address_purpose": "LOCATION",
            "city": "Kimberly",
            "state": "AL",
            "postal_code": "350912005",
            "country_code": "US",
            "telephone_number": "205-795-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY FIRST PRIMARY CARE ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "OWNER/CRNP",
        "authorized_official_telephone_number": "205-368-5972",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.