Imc-Eastern Shore Adult Medicine, LLC
NPI 1912284852ActiveOrganization· Internal Medicine· Fairhope, AL
Internal Medicine in Fairhope, Alabama, registered in NPPES in November 2011. The authorized official on file is Phillip L. Cowart, Vp Finance. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912284852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2011 |
| Last updated in NPPES | Jul 24, 2026 |
| Certified by provider | Jul 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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