Mission Medical, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MISSION MEDICAL, INC

Practice address

124 Jackson Ave S Ste C
Russellville, AL 35653-2232

Phone

(256) 398-7212

Fax

(256) 398-7213

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Carolee Cosby

Title

Office Manager

Phone

(256) 857-1223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chenyi Jeffrey Chenyi, MD

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1922387299
  Medicare reassignment Care Compare group NPD
• Melanie Brianne Malone, CRNP

  • Family Nurse Practitioner
  • Russellville, AL
  • NPI 1851473102
  Medicare reassignment Care Compare group NPD
• Nina J Stowe, CRNP

  • Family Nurse Practitioner
  • Russellville, AL
  • NPI 1467464784
  Medicare reassignment Care Compare group NPD
• Carolyn Ann Wilson, C.R.N.P.

  • Pediatric Nurse Practitioner
  • Russellville, AL
  • NPI 1245247428
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1982136123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 JACKSON AVE S STE C",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532232",
            "telephone_number": "256-398-7212",
            "fax_number": "256-398-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 JACKSON AVE S STE C",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356532232",
            "telephone_number": "256-398-7212",
            "fax_number": "256-398-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "CAROLEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-857-1223"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medexpress Littleville LLC
• Medical Center Pharmacy
• Michael a McCormick DO PC
• Bryan Miller
• Alyssa W Minshew
• Jo Anna Lea Monroe, CRNP
• Carole Ann Montgomery, RPH
• Morgan Chiropractic
• Morgan Chiropractic PC
• Tom Morgan, DC

• Family Medicine Physician in Russellville, AL
• Providers in Russellville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.