MOBILE OB-GYN PC - NPI 1417063637 - Obstetrics & Gynecology in Mobile, AL

Q: What is Mobile Obstetrics And Gynecology PC's NPI number?

The NPI number for Mobile Obstetrics And Gynecology PC is 1417063637. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is doing business as Mobile Ob-Gyn PC.

Q: What is Mobile Obstetrics And Gynecology PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

On this page

About Mobile Ob-gyn Pc NPPES

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

MOBILE OB-GYN PC (NPI 1417063637) is a healthcare organization registered as an obstetrics & gynecology in Mobile, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 13, 2027 and lists Nicol Fortner, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1417063637

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameMOBILE OBSTETRICS AND GYNECOLOGY PC

Location Address6701 AIRPORT BLVD STE B321Mobile, AL 36608-6703

Mailing Address6701 Airport Blvd Ste B321Mobile, AL 36608-6703 · (251) 633-0793 · Fax (251) 633-0736

Phone(251) 633-0793

Fax(251) 633-0736

Organization SubpartNo

Authorized OfficialNicol FortnerCredentialing · (251) 633-0793

Enumeration DateAugust 21, 2006

Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1417063637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6701 AIRPORT BLVD STE B321, Mobile, AL 36608

Open in Google Maps ↗

Other Names 1

Doing Business AsMobile Ob-gyn Pc

Other Identifiers 3

OtherF789AL · Bcbs-al Number

Medicaid528301400AL

Other207V00000XAL · Taxonomy Code

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Compliance 01D0920849

Mobile Ob/Gyn PC · Mobile, AL

Active · expires Apr 13, 2027

CLIA Number01D0920849

Laboratory TypePhysician Office

Certificate Effective DateApril 14, 2025

Certificate Expiration DateApril 13, 2027

Laboratory DirectorShawn J. Kleinpeter

Laboratory Phone(251) 633-0793

Laboratory LocationMobile Ob/Gyn PC6701 Airport Blvd Ste B-321, Mobile, AL 36608

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

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

BRANDI WALDEN TRAMMELL M.D.

Obstetrics & Gynecology