MEDCENTER FAYETTE, LLC
NPI 1235590001
Family Medicine in Fayette, AL
About Medcenter Fayette, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDCENTER FAYETTE, LLC (NPI 1235590001) is a healthcare organization registered as a family medicine in Fayette, Alabama and active in the NPI registry since March 2016. The organization lists Beth Kohn, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medcenter Fayette, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Medcenter Fayette, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 37Jasper, AL 35501
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Medcenter Fayette, LLC's NPI number?
The NPI number for Medcenter Fayette, LLC is 1235590001. It was assigned to this organization in the NPPES registry on March 8, 2016.
Where is Medcenter Fayette, LLC located?
Medcenter Fayette, LLC is located at 122 17th Ct NE, Fayette, AL 35555. The listed phone number is (205) 330-1707.
What is Medcenter Fayette, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Medcenter Fayette, LLC enrolled in Medicare?
Yes. Medcenter Fayette, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medcenter Fayette, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 3 Medicare specialties reassign their Medicare billing to Medcenter Fayette, LLC. 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 (30), Family Practice (5) and Emergency Medicine (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Medcenter Fayette, LLC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Medcenter Fayette, Llc · NPI 1235590001
Family Medicine organization in Fayette, Alabama. Organization record, active in the CMS NPPES registry since March 8, 2016.
## Identity
- **NPI:** 1235590001 (Entity type: Organization)
- **Enumerated:** March 8, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Tuscaloosa Medcenter North, Pc)
- **Authorized official:** Beth Kohn, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 122 17TH CT NE, Fayette, AL 35555-1353
- **Phone:** (205) 330-1707 · **Fax:** (205) 333-0782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (30), Family Practice (5), Emergency Medicine (2); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1235590001/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2024
- **Other identifiers:** Other 12135 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1235590001) · Data from the CMS NPPES public registry.