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DAUPHIN ISLAND MEDICAL GROUP LLC
NPI 1114639770
Clinic/Center - Primary Care in Dauphin Island, AL

Active since December 14, 2022CLIA 01D2304228 · Waiver
1008 ALABAMA AVE, DAUPHIN ISLAND, AL 36528(843) 424-4818 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2023, Jun 5, 2023, May 24, 2023 and 1 more (4 updates tracked since 2022).

About Dauphin Island Medical Group Llc NPPES

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

DAUPHIN ISLAND MEDICAL GROUP LLC (NPI 1114639770) is a healthcare organization registered as a primary care in Dauphin Island, Alabama and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Tessie O'quinn, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1114639770
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDAUPHIN ISLAND MEDICAL GROUP LLC
Location Address1008 ALABAMA AVEDauphin Island, AL 36528-4340
Mailing Address1008 Alabama AveDauphin Island, AL 36528-4340
Phone(843) 424-4818
Organization SubpartNo
Authorized OfficialTessie O'quinnCo Owner · (251) 313-2115
Enumeration DateDecember 14, 2022
Last NPPES UpdateJune 20, 20234 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1114639770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1008 ALABAMA AVE, Dauphin Island, AL 36528
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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 01D2304228

Dauphin Island Medical LLC · Dauphin Island, AL
Active · expires May 8, 2028
CLIA Number01D2304228
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorMs. Tessie L. O Quinn
Laboratory Phone(251) 313-2115
Laboratory LocationDauphin Island Medical LLC1008 Alabama Ave, Dauphin Island, AL 36528
CLIA data matches this NPI record on: Address Name 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.

DAUPHIN ISLAND MEDICAL LLC
Nurse Practitioner (Primary Care)
1008 ALABAMA AVE
DAUPHIN ISLAND, AL 36528
Mobile County (251) 313-2115

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 Dauphin Island Medical Group LLC's NPI number?

The NPI number for Dauphin Island Medical Group LLC is 1114639770. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Dauphin Island Medical Group LLC located?

Dauphin Island Medical Group LLC is located at 1008 Alabama Ave, Dauphin Island, AL 36528. The listed phone number is (843) 424-4818.

What is Dauphin Island Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Dauphin Island Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2304228) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dauphin Island Medical Group LLC was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.