Active NPI
MMC, M.D., LLC
- Family Medicine Physician
- Northport, AL
National Provider Identifier
1316559917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MMC, M.D., LLC
- Practice address
- 3509 Watermelon Rd
Northport, AL 35473-5174 - Phone
- (205) 366-0221
- Fax
- (205) 366-0342
- NPI assigned
- Aug 17, 2020
- Last updated
- Feb 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Hawthorne, MS
- Title
- Billing Manager
- Phone
- (205) 997-2417
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
3509 Watermelon Rd
Northport, AL 35473-5174
Mailing address
3509 Watermelon Rd
Northport, AL 35473-5174
Phone (205) 366-0221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Northport, AL
- NPI 1982041463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1316559917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 WATERMELON RD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735174",
"telephone_number": "205-366-0221",
"fax_number": "205-366-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 WATERMELON RD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735174",
"telephone_number": "205-366-0221",
"fax_number": "205-366-0342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MMC, M.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-17",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "HAWTHORNE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "205-997-2417",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.