East Alabama Family Practice, P.C.
NPI 1386719193ActiveOrganization· Family Medicine· Opelika, AL
Family Medicine in Opelika, Alabama, registered in NPPES in November 2006. The authorized official on file is Keith Lyle Fuller, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386719193 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2006 |
| Last updated in NPPES | Dec 22, 2022 |
| Certified by provider | Dec 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO-350 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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