Fort Payne Hospital Corporation

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

FORT PAYNE HOSPITAL CORPORATION

Doing business as

DeKalb Regional Medical Center

Practice address

200 Medical Center Dr.
Fort Payne, AL 35968

Phone

(256) 845-3150

NPI assigned

Jun 7, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David L. Miller

Title

Sr. VP

Phone

(615) 465-7000

Specialties & licenses 4

Addresses

Other names 1

• DeKalb Regional Medical Center Doing business as

Tax ID family

Fort Payne Hosp Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Payne Hospital Corporation

  dba Dekalb Regional Medical Center

  • Recovery Care Clinic/Center
  • Fort Payne, AL
  • NPI 1104121490
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487694782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR.",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR.",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-845-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT PAYNE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SR. VP",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeKalb Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fort Payne Clinic Corp.
• Fort Payne HBP LLC
• Fort Payne Home Care, LLC (Alabama HomeCare of Fort Payne)
• Fort Payne Hospital Corporation (Dekalb Regional Medical Center)
• Fort Payne Hospital Corporation (Dekalb Regional Medical Center)
• Fort Payne Hospital Corporation (Dekalb Regional Medical Center)
• Fort Payne Hospital Corporation (Dekalb Regional Medical Center)
• Fort Payne Hospital Organization (DeKalb Hospitalist Associates)
• Fort Payne MRI LLC
• Fort Payne Pediatrics LLC

• Emergency Medicine Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.