PROVIDENCE MEDICAL GROUP
NPI 1174952261
Family Medicine in Robertsdale, AL
About Providence Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE MEDICAL GROUP (NPI 1174952261) is a healthcare organization registered as a family medicine in Robertsdale, Alabama and active in the NPI registry since November 2013. The organization lists Todd S. Kennedy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Providence Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
102Medicare enrollment records show 102 clinicians reassign Medicare billing to Providence Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 102Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Alabama Providence Healthcare Services's NPI number?
The NPI number for Alabama Providence Healthcare Services is 1174952261. It was assigned to this organization in the NPPES registry on November 8, 2013. The provider is also known as Providence Medical Group.
Where is Alabama Providence Healthcare Services located?
Alabama Providence Healthcare Services is located at 18317 Us Hwy 90, Robertsdale, AL 36567. The listed phone number is (251) 947-2000.
What is Alabama Providence Healthcare Services's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alabama Providence Healthcare Services enrolled in Medicare?
Yes. Alabama Providence Healthcare Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alabama Providence Healthcare Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 102 clinicians in 14 Medicare specialties reassign their Medicare billing to Alabama Providence Healthcare Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Internal Medicine (25) and Family Practice (19). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Alabama Providence Healthcare Services was last updated on September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Providence Medical Group · NPI 1174952261
Family Medicine organization in Robertsdale, Alabama. Organization record, active in the CMS NPPES registry since November 8, 2013.
## Identity
- **NPI:** 1174952261 (Entity type: Organization)
- **Enumerated:** November 8, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Alabama Providence Healthcare Services
- **Organization subpart:** Yes (part of Alabama Providence Healthcare Services)
- **Authorized official:** Todd Kennedy, PRESIDENT
## Practice location
- **Address:** 18317 US HWY 90, Robertsdale, AL 36567
- **Phone:** (251) 947-2000 · **Fax:** (251) 947-5399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 102 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Internal Medicine (25), Family Practice (19); 2 practice at this address and 3 within 10 miles; [full list](https://npiprofile.com/npi/1174952261/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1174952261) · Data from the CMS NPPES public registry.