PROVIDENCE MEDICAL GROUP
NPI 1245669514
Internal Medicine in Mobile, AL

Q: What is Alabama Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 06, 2013

6701 AIRPORT BLVD, SUITE A101, MOBILE, AL 36608(251) 342-3949(251) 631-3361 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1245669514) is a healthcare organization registered as an internal medicine in Mobile, Alabama and active in the NPI registry since November 2013. The organization lists Todd S. Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1245669514

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES

Location Address6701 AIRPORT BLVD, SUITE A101Mobile, AL 36608-6705

Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361

Phone(251) 342-3949

Fax(251) 631-3361

Organization SubpartNo

Authorized OfficialTodd S. KennedyPresident · (251) 633-1660

Enumeration DateNovember 6, 2013

Last NPPES UpdateSeptember 28, 2015

✔ NPI 1245669514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedGeneral PracticeTaxonomy 208D00000X

6701 AIRPORT BLVD, Mobile, AL 36608

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Other Names 1

Doing Business AsProvidence Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

102

Medicare enrollment records show 102 clinicians reassign Medicare billing to Providence Medical Group, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 68 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner28

Internal Medicine25

Family Practice19

General Surgery5

Neurology5

Pediatric Medicine5

Gastroenterology4

Endocrinology3

6 other specialties8

Nearest to this location (20)

See all 102

William Case, MD

Gastroenterology

NPI 1235161498

6701 AIRPORT BLVD SUITE D-430
Mobile, AL 36608

(251) 639-2101

✔ PECOS✔ Accepts MedicareSame address

John Keebler, MD

Otolaryngology

NPI 1326194358

6701 AIRPORT BLVD STE B123
Mobile, AL 36608

(251) 633-2323

✔ PECOSSame address

Thomas Kessler, M.D.

Internal Medicine

NPI 1376559310

6701 AIRPORT BLVD SUITE A-101
Mobile, AL 36608

(251) 633-8880

✔ PECOSSame address

Marla Lambert, M.D.

Internal Medicine

NPI 1508872557

6701 AIRPORT BLVD SUITE A-101
Mobile, AL 36608

(251) 633-8880

✔ PECOS✔ Accepts MedicareSame address

Vyshali Reddy Loupe, M. D.

Internal Medicine

NPI 1659531440

6701 AIRPORT BLVD SUITE A101
Mobile, AL 36608

(251) 633-8880

✔ PECOS✔ Accepts MedicareSame address

Amy Woodward, M.D.

Internal Medicine

NPI 1427218759

6701 AIRPORT BLVD SUITE A101
Mobile, AL 36608

(251) 633-8880

✔ PECOS✔ Accepts MedicareSame address

Clay Agee, FNP-C

Nurse Practitioner

NPI 1194201277

6701 AIRPORT BLVD STE A101
Mobile, AL 36608

(251) 660-3515

✔ PECOS✔ Accepts MedicareSame address

Lindsey Beakley, M.D.

Surgical Oncology

NPI 1396044277

6701 AIRPORT BLVD STE B222
Mobile, AL 36608

(251) 663-0663

✔ PECOS✔ Accepts MedicareSame address

Ernest Burch, M.D.

General Surgery

NPI 1477518926

6701 AIRPORT BLVD STE A208
Mobile, AL 36608

(251) 266-3544

✔ PECOS✔ Accepts MedicareSame address

Kristen Butler, MD

General Surgery

NPI 1720307416

6701 AIRPORT BLVD STE A208
Mobile, AL 36608

(251) 266-3544

✔ PECOS✔ Accepts MedicareSame address

Oscar Castro, MD

Endocrinology

NPI 1093743288

6701 AIRPORT BLVD SUITE A101
Mobile, AL 36608

(251) 633-8880

✔ PECOS✔ Accepts MedicareSame address

Madelyn Collum, NP

Nurse Practitioner

NPI 1629641519

6701 AIRPORT BLVD STE B329
Mobile, AL 36608

(251) 660-3510

✔ PECOS✔ Accepts MedicareSame address

Ross Del Fierro, M.D.

Endocrinology

NPI 1760406276

6701 AIRPORT BLVD SUITE A-101
Mobile, AL 36608

(251) 633-8880

✔ PECOS✔ Accepts MedicareSame address

William Denson, MD

Neurology

NPI 1760495907

6701 AIRPORT BLVD STE B215
Mobile, AL 36608

(251) 639-0001

✔ PECOS✔ Accepts MedicareSame address

Scott Doherty, DPM

Podiatry

NPI 1730108093

6701 AIRPORT BLVD STE D144
Mobile, AL 36608

(251) 660-3503

✔ PECOS✔ Accepts MedicareSame address

Kimberly Donnellan, MD

Otolaryngology

NPI 1376762815

6701 AIRPORT BLVD STE B123
Mobile, AL 36608

(251) 660-3495

✔ PECOS✔ Accepts MedicareSame address

Valerie Glass, CRNP

Nurse Practitioner

NPI 1780369140

6701 AIRPORT BLVD STE A101
Mobile, AL 36608

(251) 660-3510

✔ PECOS✔ Accepts MedicareSame address

Latasha Henry, M.D.

Gastroenterology

NPI 1326304171

6701 AIRPORT BLVD STE B329
Mobile, AL 36608

(251) 660-3510

✔ PECOS✔ Accepts MedicareSame address

Charles Johnson, M.D.

Gastroenterology

NPI 1285675835

6701 AIRPORT BLVD STE A101
Mobile, AL 36608

(251) 639-2101

✔ PECOSSame address

Robert Willett, M.D.

General Surgery

NPI 1760463756

6701 AIRPORT BLVD STE B222
Mobile, AL 36608

(251) 663-0663

✔ PECOSSame address

See all 102 clinicians

Source: 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 1245669514. It was assigned to this organization in the NPPES registry on November 6, 2013. The provider is doing business as Providence Medical Group.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 6701 Airport Blvd Suite A101, Mobile, AL 36608. The listed phone number is (251) 342-3949.

What is Alabama Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 26 practice at this address and 68 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Alabama Providence Healthcare Services accept?

Health plans from Molina Healthcare list Alabama Providence Healthcare Services 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 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.