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IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC
NPI 1447201066
Internal Medicine in Mobile, AL

Active since May 16, 2006CLIA 01D0305481 · Certificate of Compliance
1700 SPRINGHILL AVE, SUITE 100, MOBILE, AL 36604(251) 435-1200(251) 435-6357 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2026, Dec 4, 2019, Jul 14, 2017 (3 updates tracked since 2017).

About Imc-diagnostic And Medical Clinic Llc NPPES

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

IMC-DIAGNOSTIC AND MEDICAL CLINIC LLC (NPI 1447201066) is a healthcare organization registered as an internal medicine in Mobile, Alabama and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 22, 2028 and lists Phillip Cowart, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1447201066
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMC-DIAGNOSTIC AND MEDICAL CLINIC LLC
Location Address1700 SPRINGHILL AVE, SUITE 100Mobile, AL 36604-1407
Mailing Address1700 Spring Hill Ave Ste 100Mobile, AL 36604-1416 · (251) 435-1200 · Fax (251) 435-6357
Phone(251) 435-1200
Fax(251) 435-6357
Organization SubpartNo
Authorized OfficialPhillip CowartVice President Of Finance · (251) 435-1361
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1447201066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ 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 ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
1700 SPRINGHILL AVE, Mobile, AL 36604
Open in Google Maps ↗

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imc-diagnostic And Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20031218000577Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

209

Medicare enrollment records show 209 clinicians reassign Medicare billing to Imc-Diagnostic And Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 69 practice at this address and 132 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Nurse Practitioner59
Internal Medicine29
Gastroenterology19
Critical Care (Intensivists)17
Family Practice15
Neurology13
Pulmonary Disease11
Cardiovascular Disease (Cardiology)7
15 other specialties39

Nearest to this location (20)

See all 209
Sam Abdehou, MD
Gastroenterology
NPI 1134651656
1700 SPRING HILL AVE
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Roger Alvarado
Internal Medicine
NPI 1265430243
1700 SPRING HILL AVE SUITE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Jerry Banks, M.D.
Internal Medicine
NPI 1205179504
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Nicholas Barlow
Nurse Practitioner
NPI 1124992227
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Thaddeus Beeker, MD
Medical Oncology
NPI 1780637579
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Lauren Bender, CRNP
Nurse Practitioner
NPI 1205535242
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Jessica Bhathal, M.D.
Endocrinology
NPI 1952696247
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Cynthia Crowder, MD
Pulmonary Disease
NPI 1538363726
1700 SPRING HILL AVE SUITE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Justin Cullifer, D.O.
Family Practice
NPI 1396321113
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Michael Davis, M.D.
Endocrinology
NPI 1669429171
1700 SPRINGHILL AVE SUITE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Adrian Divittorio, MD
Pulmonary Disease
NPI 1720164130
1700 SPRING HILL AVE SUITE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Shilpa Gadde, M.D.
Critical Care (Intensivists)
NPI 1336450964
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Phillip Henderson, D.O.
Gastroenterology
NPI 1144450792
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Mina Jacob, M.D.,FACC,FSCAI
Cardiovascular Disease (Cardiology)
NPI 1730132556
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Farrukh Javed, MD
Neurology
NPI 1457811473
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Thomas Mcgee, M.D.
Rheumatology
NPI 1942253737
1700 SPRINGHILL AVE SUITE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Michael O'sullivan, MD
Family Practice
NPI 1811518848
1700 SPRING HILL AVE
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Hercules Panayiotou, M.D.
Cardiovascular Disease (Cardiology)
NPI 1609822162
1700 SPRINGHILL AVE SUITE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Lucinda Patton, M.D.
Allergy/Immunology
NPI 1942246467
1700 SPRINGHILL AVE SUITE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
Thomas Turnage, MD
Cardiac Electrophysiology
NPI 1336464676
1700 SPRING HILL AVE STE 100
Mobile, AL 36604
(251) 435-1200
✔ PECOS✔ Accepts MedicareSame address
See all 209 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 01D0305481

Imc Diagnostic And Medical Clinic · Mobile, AL
Active · expires Mar 22, 2028
CLIA Number01D0305481
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2026
Certificate Expiration DateMarch 22, 2028
Laboratory DirectorStephen Marbut
Laboratory Phone(251) 435-1283
Laboratory LocationImc Diagnostic And Medical Clinic1700 Springhill Ave Suite 100, Mobile, AL 36604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Imc-Diagnostic And Medical Clinic LLC's NPI number?

The NPI number for Imc-Diagnostic And Medical Clinic LLC is 1447201066. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Imc-Diagnostic And Medical Clinic LLC located?

Imc-Diagnostic And Medical Clinic LLC is located at 1700 Springhill Ave Suite 100, Mobile, AL 36604. The listed phone number is (251) 435-1200.

What is Imc-Diagnostic And Medical Clinic LLC's specialty?

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

Is Imc-Diagnostic And Medical Clinic LLC enrolled in Medicare?

Yes. Imc-Diagnostic And Medical Clinic LLC is registered in the Medicare PECOS enrollment system.

When is Imc-Diagnostic And Medical Clinic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Imc-Diagnostic And Medical Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 209 clinicians in 23 Medicare specialties reassign their Medicare billing to Imc-Diagnostic And Medical Clinic 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. The largest specialties are Nurse Practitioner (59), Internal Medicine (29) and Gastroenterology (19). Of these, 69 practice at this address and 132 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Imc-Diagnostic And Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0305481) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Imc-Diagnostic And Medical Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Imc-Diagnostic And Medical Clinic 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 Imc-Diagnostic And Medical Clinic LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.