PROVIDENCE MEDICAL GROUP
NPI 1447799861
Family Medicine in Mobile, AL

Active since February 17, 2017
5621 COTTAGE HILL RD, MOBILE, AL 36609(251) 666-2439(251) 666-3166 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2017, Feb 17, 2017 (2 updates tracked since 2017).

About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1447799861) is a healthcare organization registered as a family medicine in Mobile, Alabama and active in the NPI registry since February 2017. The organization lists Erica Madison, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1447799861
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES
Location Address5621 COTTAGE HILL RDMobile, AL 36609-4210
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Fax(251) 666-3166
Organization SubpartNo
Authorized OfficialErica MadisonCredentialing Specialist · (251) 342-3949
Enumeration DateFebruary 17, 2017
Last NPPES UpdateMay 9, 20172 updates tracked since enumeration
NPI 1447799861 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.
5621 COTTAGE HILL RD, Mobile, AL 36609

Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 2

Medicare PIN102G702814AL
Medicaid156183AL

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 4

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

Family Medicine
5621 COTTAGE HILL RD
MOBILE, AL 36609
Internal Medicine
5621 COTTAGE HILL RD
MOBILE, AL 36609
Internal Medicine
5621 COTTAGE HILL RD
MOBILE, AL 36609
Nurse Practitioner
5621 COTTAGE HILL RD
MOBILE, AL 36609

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 1447799861. It was assigned to this organization in the NPPES registry on February 17, 2017. The provider is doing business as Providence Medical Group.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 5621 Cottage Hill Rd, Mobile, AL 36609. The listed phone number is (251) 666-2439.

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 May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.