DAUPHIN ISLAND MEDICAL LLC
NPI 1306602065
Nurse Practitioner - Primary Care in Dauphin Island, AL

Active since February 21, 2024
1008 ALABAMA AVE, DAUPHIN ISLAND, AL 36528(251) 313-2115(251) 313-2102 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dauphin Island Medical Llc NPPES

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

DAUPHIN ISLAND MEDICAL LLC (NPI 1306602065) is a healthcare organization registered as a primary care in Dauphin Island, Alabama and active in the NPI registry since February 2024. The organization lists Tessie Lee O'quinn, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1306602065
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameDAUPHIN ISLAND MEDICAL LLC
Location Address1008 ALABAMA AVEDauphin Island, AL 36528-4340
Mailing Address1005 Monberaut PlDauphin Island, AL 36528-4301 · (843) 425-4818
Fax(251) 313-2102
Organization SubpartNo
Authorized OfficialTessie Lee O'quinnOwner/provider · (843) 425-4818
Enumeration DateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1306602065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1008 ALABAMA AVE, Dauphin Island, AL 36528

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dauphin Island Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dauphin Island Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1235542713
3719 DAUPHIN ST
Mobile, AL 36608
(251) 344-9630
✔ PECOS✔ Accepts Medicare30 mi

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 Dauphin Island Medical LLC's NPI number?

The NPI number for Dauphin Island Medical LLC is 1306602065. It was assigned to this organization in the NPPES registry on February 21, 2024.

Where is Dauphin Island Medical LLC located?

Dauphin Island Medical LLC is located at 1008 Alabama Ave, Dauphin Island, AL 36528. The listed phone number is (251) 313-2115.

What is Dauphin Island Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Dauphin Island Medical LLC enrolled in Medicare?

Yes. Dauphin Island Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dauphin Island Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dauphin Island Medical LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dauphin Island Medical LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Dauphin Island Medical 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 Dauphin Island Medical LLC was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.