Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medcenter Fayette, LLC

Organization Family Medicine Physician · NPI 1235590001

Medcenter Fayette, LLC is a Family Medicine Physician in Fayette, Alabama. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

122 17th Ct NE
Fayette, AL 35555-1353
Phone: (205) 330-1707
Fax: (205) 333-0782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1235590001
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTuscaloosa Medcenter North, PC
Authorized official Beth Kohn — Credentialing Specialist · (912) 756-2273
NPI enumeratedMarch 8, 2016
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address3909 McFarland Blvd, Northport, AL 35476-2838

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