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PROVIDENCE MEDICAL GROUP - FAIRHOPE
NPI 1316464183
Family Medicine in Fairhope, AL

Active since August 23, 2017
411 N SECTION ST, FAIRHOPE, AL 36532(251) 342-3949 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Medical Group - Fairhope NPPES

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

PROVIDENCE MEDICAL GROUP - FAIRHOPE (NPI 1316464183) is a healthcare organization registered as a family medicine in Fairhope, Alabama and active in the NPI registry since August 2017. The organization lists Todd Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1316464183
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES
Location Address411 N SECTION STFairhope, AL 36532-2649
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 342-3949
Organization SubpartNo
Authorized OfficialTodd KennedyPresident · (251) 633-1000
Enumeration DateAugust 23, 2017
✔ NPI 1316464183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
411 N SECTION ST, Fairhope, AL 36532
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Other Names 1

Doing Business AsProvidence Medical Group - Fairhope

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

Other Providers at the Same Location NPPES 14

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

GULF HEALTH HOSPITALS, INC
Clinic/Center (Ambulatory Surgical)
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 623-1552
CLEARLYUSA.COM, L.L.C.
Audiologist (Assistive Technology Supplier)
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 517-5060
BAY EYES SPECTACULAR, INC
Technician/Technologist (Optician)
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 990-9999
EASTERN SHORE CARE SERVICES, P.C.
Surgery (Plastic and Reconstructive Surgery)
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 591-3978
DR. JAMES DANIEL WILDER III O.D.
Optometrist
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 990-3937
JULIA CENTANNI ELLISON DO
Family Medicine
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 660-3470
JEFFREY LEIGH WALLACE MD
Surgery
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 928-9090
KATHRYN M. SLAUGHTER CRNA
Nurse Anesthetist, Certified Registered
411 N SECTION ST
FAIRHOPE, AL 36532
Baldwin County (251) 990-3937

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 1316464183. It was assigned to this organization in the NPPES registry on August 23, 2017. The provider is doing business as Providence Medical Group - Fairhope.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 411 N Section St, Fairhope, AL 36532. The listed phone number is (251) 342-3949.

What is Alabama Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Alabama Providence Healthcare Services was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.