PROVIDENCE MEDICAL GROUP
NPI 1053515353
Family Medicine in Semmes, AL

Active since June 12, 2007
8010 MOFFETT RD, SEMMES, AL 36575(251) 645-8946(251) 645-8976 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE MEDICAL GROUP (NPI 1053515353) is a healthcare organization registered as a family medicine in Semmes, Alabama and active in the NPI registry since June 2007. The organization lists Clark P. Christianson, President, as its authorized official.

NPPES Registry Identity

NPI1053515353
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES
Location Address8010 MOFFETT RDSemmes, AL 36575-5406
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Fax(251) 645-8976
Organization SubpartNo
Authorized OfficialClark P. ChristiansonPresident · (251) 631-3574
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 27, 2012
NPI 1053515353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8010 MOFFETT RD, Semmes, AL 36575

Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 2

Medicaid529907120AL
Medicare PINH966AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
8010 MOFFETT RD
SEMMES, AL 36575
Family Medicine
8010 MOFFETT RD
SEMMES, AL 36575
Nurse Practitioner (Family)
8010 MOFFETT RD
SEMMES, AL 36575
Family Medicine
8010 MOFFETT RD
SEMMES, AL 36575
Family Medicine
8010 MOFFETT RD
SEMMES, AL 36575
Pediatrics
8010 MOFFETT RD
SEMMES, AL 36575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Healthcare Services's NPI number?

The NPI number for Providence Healthcare Services is 1053515353. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Providence Medical Group.

Where is Providence Healthcare Services located?

Providence Healthcare Services is located at 8010 Moffett Rd, Semmes, AL 36575. The listed phone number is (251) 645-8946.

What is Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Healthcare Services was last updated on August 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.