Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Alabama Medical Clinic, LLC

Organization Professional Counselor · NPI 1811288038

South Alabama Medical Clinic, LLC provides Professional Counselor services 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