1. Home
  2. Directory
  3. Alabama
  4. Fayette
  5. Family Medicine
  6. NPI Profile

MEDCENTER FAYETTE, LLC
NPI 1235590001
Family Medicine in Fayette, AL

Active since March 08, 2016
122 17TH CT NE, FAYETTE, AL 35555(205) 330-1707(205) 333-0782 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Oct 6, 2024 (2 updates tracked since 2024).

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

NPI1235590001
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDCENTER FAYETTE, LLC
Location Address122 17TH CT NEFayette, AL 35555-1353
Mailing Address3909 Mcfarland BlvdNorthport, AL 35476-2838 · (205) 330-1707 · Fax (205) 333-0782
Phone(205) 330-1707
Fax(205) 333-0782
Organization SubpartYesParent: Tuscaloosa Medcenter North, Pc
Authorized OfficialBeth KohnCredentialing Specialist · (912) 756-2273
Enumeration DateMarch 8, 2016
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1235590001 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.
122 17TH CT NE, Fayette, AL 35555
Open in Google Maps ↗

Other Identifiers 1

Other12135AL · Md License

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

Other Providers at the Same Location NPPES 2

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

JON E. SANFORD,M.D.,P.C.
Family Medicine
122 17TH CT NE
FAYETTE, AL 35555
Fayette County (205) 932-3900
URGENT CARE NORTHWEST, PC
Clinic/Center (Rural Health)
122 17TH CT NE
FAYETTE, AL 35555
Fayette County (205) 932-7777

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.

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 19 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.