Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Alabama Medical Clinic, LLC

Organization Professional Counselor · NPI 1811288038

South Alabama Medical Clinic, LLC is a Professional Counselor in Grand Bay, Alabama. Licensed in Alabama. Registered with an NPI since 2011.

Licensed in
AL
In the registry since
2011
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10075 Grand Bay Wilmer Rd S
Grand Bay, AL 36541-5003
Phone: (251) 865-1852
Fax: (251) 865-1854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (AL)
Professional Counselor Taxonomy 101YP2500X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X · Licence 1-072232 (AL)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1811288038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridgot Peters — Director · (251) 445-7618
NPI enumeratedApril 21, 2011
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address10075 Grand Bay Wilmer Rd S, Grand Bay, AL 36541-5003