Drs. Ketcham and Dismukes
NPI 1720102387ActiveOrganization· Family Medicine· Demopolis, AL
Family Medicine in Demopolis, Alabama, registered in NPPES in March 2007. The authorized official on file is Linda Smith Mayton, Billing Manager.
Overview
| NPI | 1720102387 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2007 |
| Last updated in NPPES | Dec 10, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2802 | AL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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