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FAIRHOPE INTERNAL MEDICINE PC
NPI 1295760494
Internal Medicine in Fairhope, AL

Active since July 12, 2006CLIA 01D0887850 · Waiver
6 MEDICAL PARK DRIVE, FAIRHOPE, AL 36532(251) 990-1740(251) 929-1886 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2024, Jun 9, 2020 (2 updates tracked since 2020).

About Fairhope Internal Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRHOPE INTERNAL MEDICINE PC (NPI 1295760494) is a healthcare organization registered as an internal medicine in Fairhope, Alabama and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Frank Wang, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1295760494
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAIRHOPE INTERNAL MEDICINE PC
Location Address6 MEDICAL PARK DRIVEFairhope, AL 36532
Mailing Address6 Medical Park DriveFairhope, AL 36532 · (251) 990-1740 · Fax (251) 929-1886
Phone(251) 990-1740
Fax(251) 929-1886
Organization SubpartNo
Authorized OfficialFrank WangPhysician Owner · (251) 990-1740
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1295760494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6 MEDICAL PARK DRIVE, Fairhope, AL 36532
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Other Identifiers 1

Medicaid529917330AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairhope Internal Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Fairhope Internal Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Internal Medicine7
Nurse Practitioner4

Clinicians, nearest first (11)

Laura Ray, MD
Internal Medicine
NPI 1932167434
150 S INGESIDE ST SUITE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts MedicareSame address
Kimberly Nolte, NP
Nurse Practitioner
NPI 1184809691
150 S INGLESIDE ST STE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare3.2 mi
Frank Wang
Internal Medicine
NPI 1821286451
150 S INGLESIDE ST STE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare3.2 mi
Steven Wittmer, MD
Internal Medicine
NPI 1104820869
150 S INGLESIDE ST STE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare3.2 mi
Zachary Clark, MD
Internal Medicine
NPI 1063049054
150 S INGLESIDE ST STE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare3.2 mi
Mollie Dean, CRNP
Nurse Practitioner
NPI 1578057535
150 S INGLESIDE ST STE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare3.2 mi
William Herron, M.D.
Internal Medicine
NPI 1962685958
150 S INGLESIDE ST STE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare3.2 mi
Kayla Labrato, CRNP
Nurse Practitioner
NPI 1689441271
150 S INGLESIDE ST STE 6
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare3.2 mi
Tiffany Merchant, CRNP
Nurse Practitioner
NPI 1659099257
21875 STATE HIGHWAY 181
Fairhope, AL 36532
(251) 928-1442
✔ PECOS✔ Accepts Medicare4.3 mi
Regina Felkner, D.O.
Internal Medicine
NPI 1710244983
1711 N MCKENZIE ST STE 102
Foley, AL 36535
(251) 952-6631
✔ PECOS✔ Accepts Medicare11 mi
Audrey Flower, DO
Internal Medicine
NPI 1811682610
6 MEDICAL PARK DR
Fairhope, AL 36532
(251) 990-1740
✔ PECOS✔ Accepts Medicare43 mi

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 01D0887850

Fairhope Internal Medicine, P C · Fairhope, AL
Active · expires Jan 2, 2027
CLIA Number01D0887850
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorFrank Wang
Laboratory Phone(251) 990-1740
Laboratory LocationFairhope Internal Medicine, P C6 Medical Park Dr, Fairhope, AL 36532
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fairhope Internal Medicine PC's NPI number?

The NPI number for Fairhope Internal Medicine PC is 1295760494. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Fairhope Internal Medicine PC located?

Fairhope Internal Medicine PC is located at 6 Medical Park Drive, Fairhope, AL 36532. The listed phone number is (251) 990-1740.

What is Fairhope Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fairhope Internal Medicine PC enrolled in Medicare?

Yes. Fairhope Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairhope Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Fairhope Internal Medicine PC. 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 Internal Medicine (7) and Nurse Practitioner (4). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fairhope Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0887850) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fairhope Internal Medicine PC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.