1. Home
  2. Directory
  3. Alabama
  4. Mobile
  5. Pediatrics
  6. NPI Profile

MOBILE PEDIATRIC CLINIC LLC
NPI 1104240324
Pediatrics in Mobile, AL

Active since February 07, 2014CLIA 01D0969810 · Waiver
6321 PICCADILLY SQUARE DR STE A, MOBILE, AL 36609(251) 342-8900(251) 342-2333 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mobile Pediatric Clinic Llc NPPES

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

MOBILE PEDIATRIC CLINIC LLC (NPI 1104240324) is a healthcare organization registered as a pediatrics in Mobile, Alabama and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists Amy Collins, Owner, as its authorized official.

NPPES Registry Identity

NPI1104240324
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMOBILE PEDIATRIC CLINIC LLC
Location Address6321 PICCADILLY SQUARE DR STE AMobile, AL 36609-5305
Mailing AddressPo Box 91899Mobile, AL 36691-1899 · (251) 706-8170 · Fax (251) 706-8098
Phone(251) 342-8900
Fax(251) 342-2333
Organization SubpartNo
Authorized OfficialAmy CollinsOwner · (251) 610-1618
Enumeration DateFebruary 7, 2014
Last NPPES UpdateJune 26, 2020
NPPES CertifiedJune 26, 2020
✔ NPI 1104240324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6321 PICCADILLY SQUARE DR STE A, Mobile, AL 36609
Open in Google Maps ↗

Other Identifiers 1

Medicaid156442AL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 01D0969810

Mobile Pediatric Clinic LLC · Mobile, AL
Active · expires Jun 6, 2027
CLIA Number01D0969810
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorJoseph Stadther MD
Laboratory Phone(251) 342-8900
Laboratory LocationMobile Pediatric Clinic LLC6321 Piccadilly Square Suite A, Mobile, AL 36609
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

HANNAH ELIZABETH BROOKS MD
Pediatrics
6321 PICCADILLY SQUARE DR STE A
MOBILE, AL 36609
Mobile County (251) 342-8900
MOBILE PEDIATRIC CLINIC LLC
Specialist
6321 PICCADILLY SQUARE DR STE A
MOBILE, AL 36609
Mobile County (251) 342-8900

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 Mobile Pediatric Clinic LLC's NPI number?

The NPI number for Mobile Pediatric Clinic LLC is 1104240324. It was assigned to this organization in the NPPES registry on February 7, 2014.

Where is Mobile Pediatric Clinic LLC located?

Mobile Pediatric Clinic LLC is located at 6321 Piccadilly Square Dr Ste A, Mobile, AL 36609. The listed phone number is (251) 342-8900.

What is Mobile Pediatric Clinic LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Mobile Pediatric Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0969810) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mobile Pediatric Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Mobile Pediatric Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mobile Pediatric Clinic LLC was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.