Medcenter Fayette, LLC
NPI 1235590001ActiveOrganization· Family Medicine· Fayette, AL
Family Medicine in Fayette, Alabama, registered in NPPES in March 2016, part of Tuscaloosa Medcenter North, PC. The authorized official on file is Beth Kohn, Credentialing Specialist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235590001 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tuscaloosa Medcenter North, PC |
| NPI issued | Mar 8, 2016 |
| Last updated in NPPES | Dec 19, 2024 |
| Certified by provider | Dec 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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