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

MISSION MEDICAL, INC
NPI 1982136123
Family Medicine in Russellville, AL

Active since March 28, 2017CLIA 01D2129988 · Waiver
124 JACKSON AVE S STE C, RUSSELLVILLE, AL 35653(256) 398-7212(256) 398-7213 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Mar 28, 2017 (2 updates tracked since 2017).

About Mission Medical, Inc NPPES

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

MISSION MEDICAL, INC (NPI 1982136123) is a healthcare organization registered as a family medicine in Russellville, Alabama and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Carolee Cosby, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1982136123
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISSION MEDICAL, INC
Location Address124 JACKSON AVE S STE CRussellville, AL 35653-2232
Mailing Address124 Jackson Ave S Ste CRussellville, AL 35653-2232 · (256) 398-7212 · Fax (256) 398-7213
Phone(256) 398-7212
Fax(256) 398-7213
Organization SubpartNo
Authorized OfficialCarolee CosbyOffice Manager · (256) 857-1223
Enumeration DateMarch 28, 2017
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1982136123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
124 JACKSON AVE S STE C, Russellville, AL 35653
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2129988

Mission Medical Inc · Russellville, AL
Active · expires Apr 27, 2027
CLIA Number01D2129988
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorNina J. Stowe Fnp
Laboratory Phone(256) 398-7212
Laboratory LocationMission Medical Inc124 Jackson Avenue South, Suite C, Russellville, AL 35653
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mission Medical, Inc's NPI number?

The NPI number for Mission Medical, Inc is 1982136123. It was assigned to this organization in the NPPES registry on March 28, 2017.

Where is Mission Medical, Inc located?

Mission Medical, Inc is located at 124 Jackson Ave S Ste C, Russellville, AL 35653. The listed phone number is (256) 398-7212.

What is Mission Medical, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mission Medical, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2129988) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mission Medical, Inc accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Mission Medical, Inc 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 Mission Medical, Inc was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.