SOUTHERN FAMILY URGENT CARE MOBILE
NPI 1083339121
Nurse Practitioner in Mobile, AL

Active since October 11, 2022CLIA 01D2274075 · Waiver
1962 SPRING HILL AVE, MOBILE, AL 36607(251) 802-3595 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 14, 2023, Nov 30, 2022, Oct 11, 2022 (3 updates tracked since 2022).

About Southern Family Urgent Care Mobile NPPES

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

SOUTHERN FAMILY URGENT CARE MOBILE (NPI 1083339121) is a healthcare organization registered as a nurse practitioner in Mobile, Alabama and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Babette Jackson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083339121
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMIZELL HEALTHCARE LLC
Location Address1962 SPRING HILL AVEMobile, AL 36607-2304
Mailing AddressPo Box 787Grand Bay, AL 36541-0787 · (251) 802-3595 · Fax (228) 896-7174
Organization SubpartNo
Authorized OfficialBabette JacksonAdministrator · (251) 802-3595
Enumeration DateOctober 11, 2022
Last NPPES UpdateFebruary 14, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
NPI 1083339121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1962 SPRING HILL AVE, Mobile, AL 36607

Other Names 1

Doing Business AsSouthern Family Urgent Care Mobile

Other Identifiers 1

Medicaid293842AL

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2274075

Dba Southern Family Urgent Care Mizell Health Care, LLC · Mobile, AL
Active · expires Dec 22, 2026
CLIA Number01D2274075
Laboratory TypePractitioner Other
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorAmanda R. Mizell
Laboratory Phone(251) 802-3595
Laboratory LocationDba Southern Family Urgent Care Mizell Health Care, LLC1962 Springhill Ave, Mobile, AL 36607
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dentist
1962 SPRING HILL AVE
MOBILE, AL 36607

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 Mizell Healthcare LLC's NPI number?

The NPI number for Mizell Healthcare LLC is 1083339121. It was assigned to this organization in the NPPES registry on October 11, 2022. The provider is doing business as Southern Family Urgent Care Mobile.

Where is Mizell Healthcare LLC located?

Mizell Healthcare LLC is located at 1962 Spring Hill Ave, Mobile, AL 36607. The listed phone number is (251) 802-3595.

What is Mizell Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Mizell Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2274075) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mizell Healthcare LLC was last updated on February 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.