MIZELL MEMORIAL HOSPITAL, INC.
NPI 1760728455
Family Medicine in Opp, AL
About Mizell Memorial Hospital, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIZELL MEMORIAL HOSPITAL, INC. (NPI 1760728455) is a healthcare organization registered as a family medicine in Opp, Alabama and active in the NPI registry since December 2012. The organization lists Jana Wyatt, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 Hospital, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Mizell Memorial Hospital, Inc., which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (16)
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 1760728455. It was assigned to this organization in the NPPES registry on December 27, 2012.
Where is Mizell Memorial Hospital, Inc. located?
Mizell Memorial Hospital, Inc. is located at 802 N Main St, Opp, AL 36467. The listed phone number is (334) 493-3240.
What is Mizell Memorial Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 8 practice 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 January 14, 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.
# Mizell Memorial Hospital, Inc. · NPI 1760728455
Family Medicine organization in Opp, Alabama. Organization record, active in the CMS NPPES registry since December 27, 2012.
## Identity
- **NPI:** 1760728455 (Entity type: Organization)
- **Enumerated:** December 27, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jana Wyatt, CEO
## Practice location
- **Address:** 802 N MAIN ST, Opp, AL 36467-1614
- **Phone:** (334) 493-3240 · **Fax:** (334) 493-9535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (4), Family Practice (2); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2021
- **Other identifiers:** Medicaid 144655 (AL)
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Source: [NPI Profile](https://npiprofile.com/npi/1760728455) · Data from the CMS NPPES public registry.