FMC MEDICAL CLINIC MILLPORT
NPI 1063871184
Family Medicine in Millport, AL
About Fmc Medical Clinic Millport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FMC MEDICAL CLINIC MILLPORT (NPI 1063871184) is a healthcare organization registered as a family medicine in Millport, Alabama and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Ryan Campbell, Director Of Physician Service, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fmc Medical Clinic Millport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to FMC Medical Clinic Millport, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D2109911
Fmc Medical Clinic Millport · Millport, ALFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is FMC Medical Clinic Millport's NPI number?
The NPI number for FMC Medical Clinic Millport is 1063871184. It was assigned to this organization in the NPPES registry on February 17, 2016.
Where is FMC Medical Clinic Millport located?
FMC Medical Clinic Millport is located at 13530 Highway 96, Millport, AL 35576. The listed phone number is (205) 662-3207.
What is FMC Medical Clinic Millport's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is FMC Medical Clinic Millport enrolled in Medicare?
Yes. FMC Medical Clinic Millport is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through FMC Medical Clinic Millport?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to FMC Medical Clinic Millport. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does FMC Medical Clinic Millport hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D2109911) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does FMC Medical Clinic Millport accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list FMC Medical Clinic Millport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for FMC Medical Clinic Millport was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fmc Medical Clinic Millport · NPI 1063871184
Family Medicine organization in Millport, Alabama. Organization record, active in the CMS NPPES registry since February 17, 2016.
## Identity
- **NPI:** 1063871184 (Entity type: Organization)
- **Enumerated:** February 17, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Campbell, DIRECTOR OF PHYSICIAN SERVICE
## Practice location
- **Address:** 13530 HIGHWAY 96, Millport, AL 35576-2522
- **Phone:** (205) 662-3207 · **Fax:** (205) 333-4660
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2016
- **Other identifiers:** Medicaid 183355 (AL); Medicare PIN 102G707924 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063871184) · Data from the CMS NPPES public registry.