Grant Wellness Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRANT WELLNESS CLINIC, LLC

Practice address

4630 Main St
Grant, AL 35747-8308

Phone

(256) 728-7620

NPI assigned

Feb 23, 2021

Last updated

Mar 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Stephanie M Rice, NPNPI 1447723184

Title

Nurse Practitioner

Phone

(256) 728-7620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Michele Rice, NP-C

  • Registered Nurse
  • Grant, AL
  • NPI 1447723184
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1295329910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478308",
            "telephone_number": "256-728-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478308",
            "telephone_number": "256-728-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "256-728-7620",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Fossett Daniel, CRNP
• Grant Clinic
• Grant Dental Care PC
• Grant Family Eye Care, P.C.
• Grant Family Medicine, LLC
• Nicole B Jones, RPH
• James L Kendrick Jr., CRNA
• Marshall Medical Center North (Grant Primary Care)
• Diana Cherise Rembert, CRNP
• Stephanie Michele Rice, NP-C

• Family Medicine Physician in Grant, AL
• Providers in Grant, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.