NPIMap

Organization Active NPI

Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
National Provider Identifier
1851323836
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H2901 Issued in AL
Legal business name
FAYETTE MEDICAL CENTER
Practice address
1653 Temple Ave N
Fayette, AL 35555
Phone
(205) 932-5966
Fax
(205) 932-1260
NPI assigned
Jul 7, 2006
Last updated
Feb 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
David W Herman
Title
VP Finance
Phone
(205) 759-7297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H2901 AL Primary

Addresses

Primary practice location

1653 Temple Ave N
Fayette, AL 35555

Mailing address

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7190

Other identifiers 7

IdentifierTypeStateIssuer
010124OtherALBLUE CROSS
HOS0045HMedicaidAL
C858OtherALBLUE SHIELD MED B
A3555501OtherALUNITED HEALTHCARE
510C858OtherALBLUE SHIELD
558200720MedicaidAL
9195OtherALHEALTHSPRINGS

Other names 1

  • Fayette County Hospital Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031210000253 AL Part B Supplier - Clinic/Group Practice 9234035346 Receives reassigned benefits from 24 practitioners
1 other NPI on this enrollment
Practice locations: Fayette, AL
O20081211000545 AL Part A Provider - Hospital 9234035346 Practice locations: Fayette, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851323836. Details of each certification follow.

Hospital certification: CCN 010045

Legal name
FAYETTE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 16, 2001
Beds
61
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Sep 21, 1958 in AL
Enrollment address
1653 Temple Ave N
Fayette, AL 35555-1314
Other Hospital Practice Location
Hospital subgroups
General, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Fayette Medical CenterCCN 010045 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
DCH Med Ctre R Physician13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1716 Temple Ave N
#1
Fayette, AL 35555
Phone (205) 932-5966

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alex D Dobbins Individual W-2 Managing EmployeeCredentialing Manager Dec 5, 2023
David Herman Individual W-2 Managing EmployeeVP Finance Oct 13, 2025
David Gay Individual Corporate DirectorBoard Member Jan 1, 2021
Joseph Colquitt Individual Corporate DirectorBoard Member Nov 25, 2008
David Hudson Individual Corporate OfficerBoard Member Feb 12, 2019
Lewis Standeffer Individual Corporate Director Nov 25, 2008
W-2 Managing EmployeeAd; Nov 25, 2008
Rodney G Clark Individual W-2 Managing EmployeeAd; Aug 19, 2024
The DCH Healthcare Authority Organization, Tuscaloosa, AL Non-profit Operational/Managerial Control Aug 8, 1996 100%
Joe M Bedwell Individual W-2 Managing EmployeeDirector of Revenue Cycle Jan 1, 2024
James Harrison Individual Corporate DirectorBoard Member Nov 25, 2008

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fayette Medical Center HomecareFayette, AL, CCN 017088 Home health agency 5% Or Greater Direct Ownership Interest (33%) Nov 1, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 123

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.

View all 123

Affiliated clinicians 141

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 141

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1851323836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7190",
            "fax_number": "205-330-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 TEMPLE AVE N",
            "city": "FAYETTE",
            "state": "AL",
            "postal_code": "35555",
            "telephone_number": "205-932-5966",
            "fax_number": "205-932-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "205-759-7297"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "H2901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010124",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HOS0045H",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MED B",
            "identifier": "C858",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "A3555501",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "510C858",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558200720",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS",
            "identifier": "9195",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette County Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Fayette County Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayette, AL

Sources for this page

Verify at the official NPI Registry.