UNIVERSITY UROLOGY
NPI 1417413840
Urology in Fairhope, AL

Active since February 11, 2019CLIA Certified · 2 labs
150 S INGLESIDE ST, FAIRHOPE, AL 36532(251) 660-5930(251) 660-5931 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2021, Apr 7, 2021, Jul 6, 2020 and 1 more (4 updates tracked since 2019).

About University Urology NPPES

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

UNIVERSITY UROLOGY (NPI 1417413840) is a healthcare organization registered as an urology in Fairhope, Alabama and active in the NPI registry since February 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Fairhope, and lists Erica Madison, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1417413840
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
Location Address150 S INGLESIDE STFairhope, AL 36532-1803
Mailing Address3929-1 Airport Blvd, 5th Floor, Room 513Mobile, AL 36609 · (251) 318-2681 · Fax (251) 378-6222
Fax(251) 660-5931
Organization SubpartNo
Authorized OfficialErica MadisonCredentialing · (251) 318-2681
Enumeration DateFebruary 11, 2019
Last NPPES UpdateApril 29, 20214 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
NPI 1417413840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

150 S INGLESIDE ST, Fairhope, AL 36532

Other Names 1

Doing Business AsUniversity Urology

Secondary Practice Location 1

Location 11047 Fairhope AveFairhope, AL 36532-3145 · Phone (251) 660-5930 · Fax (251) 660-5931

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

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 01D2342847

University Urology Providence · Mobile, AL
Active · expires Apr 27, 2028
CLIA Number01D2342847
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorChristopher Keel
Laboratory Phone(251) 660-5930
Laboratory LocationUniversity Urology Providence6701 Airport Blvd, Suite A101, Mobile, AL 36608
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2334896

University Urology Mci · Mobile, AL
Active · expires Dec 2, 2027
CLIA Number01D2334896
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorChristopher Keel
Laboratory Phone(251) 660-5930
Laboratory LocationUniversity Urology Mci1660 Spring Hill Ave, Mobile, AL 36604
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Urology
150 S INGLESIDE ST
FAIRHOPE, AL 36532
Pediatrics
150 S INGLESIDE ST, STE 7
FAIRHOPE, AL 36532
Pediatrics
150 S INGLESIDE ST, STE 7
FAIRHOPE, AL 36532
Pediatrics
150 S INGLESIDE ST, STE 7
FAIRHOPE, AL 36532
Specialist
150 S INGLESIDE ST, 4 MEDICAL PARK
FAIRHOPE, AL 36532
Nurse Practitioner (Family)
150 S INGLESIDE ST
FAIRHOPE, AL 36532
Nurse Practitioner
150 S INGLESIDE ST
FAIRHOPE, AL 36532
Pediatrics
150 S INGLESIDE ST, SUITE 7
FAIRHOPE, AL 36532

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 University Of South Alabama Health Care Authority's NPI number?

The NPI number for University Of South Alabama Health Care Authority is 1417413840. It was assigned to this organization in the NPPES registry on February 11, 2019. The provider is doing business as University Urology.

Where is University Of South Alabama Health Care Authority located?

University Of South Alabama Health Care Authority is located at 150 S Ingleside St, Fairhope, AL 36532. The listed phone number is (251) 660-5930.

What is University Of South Alabama Health Care Authority's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does University Of South Alabama Health Care Authority hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for University Of South Alabama Health Care Authority was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.