Fmc Medical Clinic - Fayette LLC
NPI 1588141063ActiveOrganization· Family Medicine· Fayette, AL
Family Medicine in Fayette, Alabama, registered in NPPES in July 2018. The authorized official on file is Daniel Clay Conville, Corp Director Physician Services. Enrolled in Medicare as part a provider - rural health clinic and part b supplier - clinic/group practice.
Overview
| NPI | 1588141063 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2018 |
| Last updated in NPPES | Oct 16, 2024 |
| Certified by provider | Oct 16, 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 A Provider - Rural Health Clinic (AL); Part B Supplier - Clinic/Group Practice (AL) |
|---|
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