Maysville Medical Center – Federally Qualified Health Center (FQHC), NPI 1225006679

Maysville Medical Center is a healthcare provider. based in Mobile, Alabama. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Maysville Medical Center is 1225006679

Main info

Organization
Name
Maysville Medical Center
NPI
1225006679
Phone
(251) 432-4117
Address
PO BOX 2048
Authorized Official
MR. CHARLES WHITE CHIEF EXECUTIVE OFFICER
Enumeration Date
10 March 2006
Last Update Date
24 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Maysville Medical Center

  • Mobile Post Office, 250, Saint Joseph Street, Downtown, Mobile County Commission District 1, Mobile, Mobile County, Alabama, 36601, United States

    MOBILE, AL 366522048

    Phone: (251) 432-4117

    Fax: (251) 436-7765

    Type: Mailing

  • 1956, Duval Street, Mobile County Commission District 1, Mobile, Mobile County, Alabama, 36606, United States

    MOBILE, AL 36606

    Phone: (251) 471-3747

    Fax: (251) 450-1445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20061211000100OFederally Qualified Health Center (Fqhc)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36652)

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Reviews

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Frequently asked questions

Can I use this page to confirm Maysville Medical Center's NPI?
Yes. Maysville Medical Center is listed with NPI 1225006679 in the public NPI dataset.
Can I rely on Maysville Medical Center being an active provider?
As of the registry snapshot, Maysville Medical Center is marked active.
What is Maysville Medical Center's specialty?
The listing groups Maysville Medical Center with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is Maysville Medical Center based?
Maysville Medical Center is tied to Mobile, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about Maysville Medical Center up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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