EVERGREEN MEDICAL CENTER, LLC
NPI 1619559812
Clinic/Center - Rural Health in Georgiana, AL
About Evergreen Medical Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN MEDICAL CENTER, LLC (NPI 1619559812) is a healthcare organization registered as a rural health in Georgiana, Alabama and active in the NPI registry since April 2021. The organization lists Melissa Diane Dunn, Chief Operations Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evergreen Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Evergreen Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 Evergreen Medical Center, LLC's NPI number?
The NPI number for Evergreen Medical Center, LLC is 1619559812. It was assigned to this organization in the NPPES registry on April 27, 2021.
Where is Evergreen Medical Center, LLC located?
Evergreen Medical Center, LLC is located at 225 Patterson Ave # A, Georgiana, AL 36033. The listed phone number is (251) 578-2480.
What is Evergreen Medical Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Evergreen Medical Center, LLC enrolled in Medicare?
Yes. Evergreen Medical Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evergreen Medical Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Evergreen Medical Center, 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 (3) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Evergreen Medical Center, LLC accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Evergreen Medical Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Evergreen Medical Center, LLC was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Evergreen Medical Center, Llc · NPI 1619559812
Rural Health organization in Georgiana, Alabama. Organization record, active in the CMS NPPES registry since April 27, 2021.
## Identity
- **NPI:** 1619559812 (Entity type: Organization)
- **Enumerated:** April 27, 2021
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Melissa Dunn, CHIEF OPERATIONS OFFICER
## Practice location
- **Address:** 225 PATTERSON AVE # A, Georgiana, AL 36033-6628
- **Phone:** (251) 578-2480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619559812) · Data from the CMS NPPES public registry.