DR KEITH DISMUKES L.L.C.
NPI 1801161138
Clinic/Center - Primary Care in Demopolis, AL

Active since March 20, 2012
202 US HIGHWAY 80 E, DEMOPOLIS, AL 36732(334) 289-0499(334) 289-3013 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr Keith Dismukes L.l.c. NPPES

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

DR KEITH DISMUKES L.L.C. (NPI 1801161138) is a healthcare organization registered as a primary care in Demopolis, Alabama and active in the NPI registry since March 2012. The organization lists Lauri Anne Cameron, Asst. Office Manager, as its authorized official.

NPPES Registry Identity

NPI1801161138
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDR KEITH DISMUKES L.L.C.
Location Address202 US HIGHWAY 80 EDemopolis, AL 36732-3622
Mailing AddressPo Box 650, P.o. Box 650Demopolis, AL 36732-0650 · (334) 289-0499 · Fax (334) 289-3013
Fax(334) 289-3013
Organization SubpartNo
Authorized OfficialLauri Anne CameronAsst. Office Manager · (334) 287-2584
Enumeration DateMarch 20, 2012
✔ NPI 1801161138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AL · AD7121724
202 US HIGHWAY 80 E, Demopolis, AL 36732

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr Keith Dismukes L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr Keith Dismukes L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1295749059
202 HWY 80 EAST
Demopolis, AL 36732
(334) 289-0499
✔ PECOS✔ Accepts MedicareSame address

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 Dr Keith Dismukes L.L.C.'s NPI number?

The NPI number for Dr Keith Dismukes L.L.C. is 1801161138. It was assigned to this organization in the NPPES registry on March 20, 2012.

Where is Dr Keith Dismukes L.L.C. located?

Dr Keith Dismukes L.L.C. is located at 202 Us Highway 80 E, Demopolis, AL 36732. The listed phone number is (334) 289-0499.

What is Dr Keith Dismukes L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Dr Keith Dismukes L.L.C. enrolled in Medicare?

Yes. Dr Keith Dismukes L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Keith Dismukes L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr Keith Dismukes L.L.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr Keith Dismukes L.L.C. was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.