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FMC MEDICAL CLINIC MILLPORT
NPI 1063871184
Family Medicine in Millport, AL

Active since February 17, 2016CLIA 01D2109911 · Waiver
13530 HIGHWAY 96, MILLPORT, AL 35576(205) 662-3207(205) 333-4660 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1063871184
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFMC MEDICAL CLINIC MILLPORT
Location Address13530 HIGHWAY 96Millport, AL 35576-2522
Mailing Address1820 Rice Mine Rd N, Suite 200Tuscaloosa, AL 35406-3281 · (205) 333-4661 · Fax (205) 333-4660
Phone(205) 662-3207
Fax(205) 333-4660
Organization SubpartNo
Authorized OfficialRyan CampbellDirector Of Physician Service · (205) 759-6165
Enumeration DateFebruary 17, 2016
Last NPPES UpdateJune 8, 2016
✔ NPI 1063871184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13530 HIGHWAY 96, Millport, AL 35576
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Other Identifiers 2

Medicaid183355AL
Medicare PIN102G707924AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, AL
Active · expires Mar 3, 2028
CLIA Number01D2109911
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorDakota Acton Jones
Laboratory Phone(205) 662-3207
Laboratory LocationFmc Medical Clinic Millport13530 Us Hwy 96, Millport, AL 35576
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MILLPORT FAM PRACTICE CLINIC, LLC
Clinic/Center
13530 HIGHWAY 96
MILLPORT, AL 35576
Lamar County (205) 662-5784
ROBERT ENOCH SWANSON CRNP
Nurse Practitioner (Family)
13530 HIGHWAY 96
MILLPORT, AL 35576
Lamar County (205) 662-5784
MRS. HANNAH L LIVINGSTON CRNP
Nurse Practitioner
13530 HIGHWAY 96
MILLPORT, AL 35576
Lamar County (205) 662-3207
LAMAR PRIMARY CARE LLC
Health Maintenance Organization
13530 HIGHWAY 96
MILLPORT, AL 35576
Lamar County (205) 662-5784
MILLPORT INTERNAL MEDICINE
Clinic/Center (Medical Specialty)
13530 HIGHWAY 96
MILLPORT, AL 35576
Lamar County (205) 662-5784
MILLPORT FAMILY PRACTICE CLINIC, LLC
Clinic/Center (Rural Health)
13530 HIGHWAY 96
MILLPORT, AL 35576
Lamar County (205) 662-5784

Frequently 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.

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.

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.