Russellville Internal Medicine PC
NPI 1174715296 · Internal Medicine Physician · Russellville, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Russellville Internal Medicine PC is a Internal Medicine Physician organization in Russellville, AL (NPI 1174715296).
Provider details
- NPI number
- 1174715296
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Miranda Decker, MD(256) 332-1120
- License
- 28146 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-13
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Frequently asked questions
- What is Russellville Internal Medicine PC's NPI number?
- Russellville Internal Medicine PC's National Provider Identifier (NPI) is 1174715296, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russellville Internal Medicine PC?
- Russellville Internal Medicine PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Russellville Internal Medicine PC located?
- Russellville Internal Medicine PC's practice location on file with NPPES is 535 Gandy St Ne, Russellville, AL 35653-1965.
- What is Russellville Internal Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Russellville Internal Medicine PC is (256) 332-1120.
- Does Russellville Internal Medicine PC accept Medicare?
- Russellville Internal Medicine PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Russellville Internal Medicine PC?
- The authorized official listed on Russellville Internal Medicine PC's NPPES record is Miranda Decker, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russellville Internal Medicine PC's NPI active?
- Yes — Russellville Internal Medicine PC's NPI (1174715296) is active in the NPPES registry as of the last update on 2024-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.