Individual provider Active NPI

Raynard G. Fabianke, M.D.

  • Family Medicine Physician
  • Red Bay, AL
National Provider Identifier
1851387575
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7483 Issued in AL
Practice address
925 4TH Street
Red Bay, AL 35582
Phone
(256) 356-9511
Fax
(256) 356-9339
NPI assigned
Sep 27, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7483 AL Primary

Addresses

Primary practice location

925 4TH Street
Red Bay, AL 35582

Mailing address

PO Box 429
Red Bay, AL 35582-0429
Phone (256) 356-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000565 AL Practitioner - Emergency Medicine 2466536701 Reassigns benefits to 5 organizations
Practice locations: Red Bay, AL

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

1012 4TH NWST
Red Bay, AL 35582-3924
Phone (256) 356-9511

211 Hospital Rd
Red Bay, AL 35582-3858
Phone (256) 356-8160

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Red Bay LLC Current Accepting new patients
Correct Care, Inc. CurrentSince Nov 4, 2017 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jan 17, 2011 Accepting new patients
Relias Emergency Medicine Specialists of Hamilton, LLC CurrentSince Aug 15, 2019 Accepting new patients
Marion Regional Medical Center, Inc. CurrentSince Apr 1, 2011 Accepting new patients
Marion Regional Medical Center, Inc. Current Accepting new patients
Marion Regional Medical Center, Inc CurrentSince Apr 1, 2011 Accepting new patients
Demopolis Emergency Physicians, LLC Past Accepting new patients
Raynard Fabianke, Medical Clinic of Red Bay Family Medicine PastSince Apr 15, 1997 Accepting new patients
Colbert County-Northwest Alabama Healthcare Authority Family Medicine Past Accepting new patients
Colbert Co Northwest Al Healthcare Authority Family Medicine Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200

1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521

211 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8160

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851387575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "355820429",
            "telephone_number": "256-356-9511",
            "fax_number": "256-356-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 4TH STREET",
            "city": "RED BAY",
            "state": "AL",
            "postal_code": "35582",
            "telephone_number": "256-356-9511",
            "fax_number": "256-356-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIANKE",
        "first_name": "RAYNARD",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "7483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bay, AL

Sources for this page

Verify at the official NPI Registry.