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

DRS. KETCHAM AND DISMUKES
NPI 1720102387
Family Medicine in Demopolis, AL

Active since March 19, 2007
202 HWY 80 E, DEMOPOLIS, AL 36732(334) 289-0499(334) 289-3013 Get Directions Write a Review

NPPES record last updated: December 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Drs. Ketcham And Dismukes NPPES

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

DRS. KETCHAM AND DISMUKES (NPI 1720102387) is a healthcare organization registered as a family medicine in Demopolis, Alabama and active in the NPI registry since March 2007. The organization lists Linda Smith Mayton, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1720102387
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDRS. KETCHAM AND DISMUKES
Location Address202 HWY 80 EDemopolis, AL 36732
Mailing Address202 Hwy 80 E, P.o. Box 650Demopolis, AL 36732 · (334) 289-0499 · Fax (334) 289-3013
Phone(334) 289-0499
Fax(334) 289-3013
Organization SubpartNo
Authorized OfficialLinda Smith MaytonBilling Manager · (334) 289-0499
Enumeration DateMarch 19, 2007
Last NPPES UpdateDecember 10, 2009
✔ NPI 1720102387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 2802
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
202 HWY 80 E, Demopolis, AL 36732
Open in Google Maps ↗

Other Identifiers 12

Other0110247AL · United Health Care
Medicare UPINC78741AL
Medicaid000088680AL
Medicaid000088681AL
Medicare PIND710AL
Medicare PIN000088681AL
Other0110356AL · United Healthcare
Other051088681AL · Blue Cross Blue Shield
Medicare PIN000088680AL
Other051088680AL · Blue Cross Blue Shield
Medicare UPINC72471AL
Medicare NSC0453490001AL

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 Drs. Ketcham And Dismukes's NPI number?

The NPI number for Drs. Ketcham And Dismukes is 1720102387. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Drs. Ketcham And Dismukes located?

Drs. Ketcham And Dismukes is located at 202 Hwy 80 E, Demopolis, AL 36732. The listed phone number is (334) 289-0499.

What is Drs. Ketcham And Dismukes'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 Drs. Ketcham And Dismukes was last updated on December 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.