MIZELL MEMORIAL HOSPITALIST GROUP
NPI 1477032795
Hospitalist in Opp, AL

Q: What is Mizell Memorial Hospital, Inc.'s NPI number?

The NPI number for Mizell Memorial Hospital, Inc. is 1477032795. It was assigned to this organization in the NPPES registry on August 8, 2018. The provider is doing business as Mizell Memorial Hospitalist Group.

Q: What is Mizell Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since August 08, 2018

702 N MAIN ST, OPP, AL 36467(334) 493-3541(334) 493-9664 Get Directions Write a Review

NPPES record last updated: December 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2019, Aug 8, 2018 (2 updates tracked since 2018).

On this page

About Mizell Memorial Hospitalist Group NPPES

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

MIZELL MEMORIAL HOSPITALIST GROUP (NPI 1477032795) is a healthcare organization registered as a hospitalist in Opp, Alabama and active in the NPI registry since August 2018. The organization lists Jana Wyatt, Ceo / Cfo, as its authorized official.

NPPES Registry Identity

NPI1477032795

Entity TypeOrganization

Primary Taxonomy208M00000X

Legal Business NameMIZELL MEMORIAL HOSPITAL, INC.

Location Address702 N MAIN STOpp, AL 36467-1626

Mailing AddressPo Box 1010Opp, AL 36467-1010 · (334) 493-3541 · Fax (334) 493-9664

Phone(334) 493-3541

Fax(334) 493-9664

Organization SubpartNo

Authorized OfficialJana WyattCeo / Cfo · (334) 493-9111

Enumeration DateAugust 8, 2018

Last NPPES UpdateDecember 24, 20192 updates tracked since enumeration

✔ NPI 1477032795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

702 N MAIN ST, Opp, AL 36467

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Other Names 1

Doing Business AsMizell Memorial Hospitalist Group

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)

Mizell Memorial Hospitalist Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 16 clinicians reassign Medicare billing to Mizell Memorial Hospitalist Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner5

Certified Registered Nurse Anesthetist (CRNA)4

Family Practice2

Diagnostic Radiology1

General Practice1

Internal Medicine1

Neurology1

Podiatry1

Clinicians, nearest first (16)

Aaron Holloway, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1346309358

702 N MAIN ST
Opp, AL 36467

(334) 493-3541

Same address

Michael Mabrey, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1841247111

702 N MAIN ST
Opp, AL 36467

(334) 493-3541

✔ Accepts MedicareSame address

Vincent Martin, M.D.

Diagnostic Radiology

NPI 1487637088

702 N MAIN ST
Opp, AL 36467

(334) 493-2342

✔ PECOS✔ Accepts MedicareSame address

Michael Maschek, DPM

Podiatry

NPI 1982624433

702 N MAIN ST
Opp, AL 36467

(334) 493-5704

✔ PECOS✔ Accepts MedicareSame address

Robert Williams, MD

Family Practice

NPI 1801897269

103 E MEMORIAL AVE PHYSICIANS OFFICE BUILDING
Opp, AL 36467

(334) 493-7930

✔ PECOSSame address

Kenneth Crowe, M.D.

General Practice

NPI 1124169651

802 N MAIN ST SUITE A
Opp, AL 36467

(334) 493-2530

✔ PECOS✔ Accepts Medicare0.1 mi

Vicki Senn, CRNP

Nurse Practitioner

NPI 1881007086

1800 US HIGHWAY 84 W
Opp, AL 36467

(334) 493-4357

✔ PECOS✔ Accepts Medicare1.6 mi

Patricia Rountree, CRNP

Nurse Practitioner

NPI 1326412032

802 N MAIN ST
Opp, AL 36467

(334) 493-3240

✔ PECOS✔ Accepts Medicare6.8 mi

Rick Harrelson, MD

Internal Medicine

NPI 1578512083

101 PROFESSIONAL LANE
Enterprise, AL 36330

(334) 347-3404

✔ PECOS✔ Accepts Medicare25 mi

Kendal Payne, APRN

Nurse Practitioner

NPI 1386373033

200 WAITS DR
Andalusia, AL 36421

(334) 784-9170

✔ PECOS38 mi

Joshua Mount, NP

Nurse Practitioner

NPI 1902549991

118 OBRANNAN PARK DR
Dothan, AL 36303

(334) 305-2800

✔ PECOS✔ Accepts Medicare47 mi

Alan Prince, M.D.

Neurology

NPI 1376593681

1800 FAIRVIEW AVE SUITE 1
Dothan, AL 36301

(334) 793-1703

✔ PECOS53 mi

Michael Stanley, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1255602082

1108 ROSS CLARK CIR
Dothan, AL 36301

(334) 793-8087

✔ Accepts Medicare53 mi

James Norman, MD

Family Practice

NPI 1437411576

2016 S ALABAMA AVE STE C
Monroeville, AL 36460

(251) 743-7555

✔ PECOS✔ Accepts Medicare65 mi

Kyle Rountree, NP

Nurse Practitioner

NPI 1518322700

12139 PANAMA CITY BEACH PKWY
Panama City Beach, FL 32407

(850) 234-2242

✔ PECOS✔ Accepts Medicare79 mi

Christopher Blatz, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1700922028

124 S MEMORIAL DR
Prattville, AL 36067

(334) 365-0651

✔ Accepts Medicare82 mi

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 Mizell Memorial Hospital, Inc.'s NPI number?

The NPI number for Mizell Memorial Hospital, Inc. is 1477032795. It was assigned to this organization in the NPPES registry on August 8, 2018. The provider is doing business as Mizell Memorial Hospitalist Group.

Where is Mizell Memorial Hospital, Inc. located?

Mizell Memorial Hospital, Inc. is located at 702 N Main St, Opp, AL 36467. The listed phone number is (334) 493-3541.

What is Mizell Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mizell Memorial Hospital, Inc. enrolled in Medicare?

Yes. Mizell Memorial Hospital, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mizell Memorial Hospital, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 8 Medicare specialties reassign their Medicare billing to Mizell Memorial Hospital, Inc.. 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 (5), Certified Registered Nurse Anesthetist (CRNA) (4) and Family Practice (2). Of these, 4 practice at this address and 8 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 Mizell Memorial Hospital, Inc. was last updated on December 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.