Medcenter Fayette, LLC
NPI 1235590001 · Family Medicine Physician · Fayette, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medcenter Fayette, LLC is a Family Medicine Physician organization in Fayette, AL (NPI 1235590001).
Provider details
- NPI number
- 1235590001
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Tuscaloosa Medcenter North, PC
- Organization subpart
- Yes
- Authorized official
- Beth Kohn, Credentialing Specialist(912) 756-2273
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
10 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
- 2016-03-08
- Last updated
- 2024-12-19
- Certified
- 2024-12-19
Frequently asked questions
- What is Medcenter Fayette, LLC's NPI number?
- Medcenter Fayette, LLC's National Provider Identifier (NPI) is 1235590001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medcenter Fayette, LLC?
- Medcenter Fayette, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Medcenter Fayette, LLC located?
- Medcenter Fayette, LLC's practice location on file with NPPES is 122 17th Ct Ne, Fayette, AL 35555-1353.
- What is Medcenter Fayette, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medcenter Fayette, LLC is (205) 330-1707.
- Does Medcenter Fayette, LLC accept Medicare?
- Medcenter Fayette, LLC 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 Medcenter Fayette, LLC?
- The authorized official listed on Medcenter Fayette, LLC's NPPES record is Beth Kohn, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medcenter Fayette, LLC's NPI active?
- Yes — Medcenter Fayette, LLC's NPI (1235590001) is active in the NPPES registry as of the last update on 2024-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.