OrganizationActive
Mission Medical, Inc
NPI 1982136123 · Family Medicine Physician · Russellville, AL
Provider details
- NPI number
- 1982136123
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolee Cosby, Office Manager(256) 857-1223
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
124 Jackson Ave S Ste C
Russellville, AL 35653-2232
Phone: (256) 398-7212
Fax: (256) 398-7213
Street-level locationGet directions
Mailing address
124 Jackson Ave S Ste C
Russellville, AL 35653-2232
Registry dates
- Enumerated
- 2017-03-28
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.