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PROVIDENCE MEDICAL GROUP
NPI 1497959613
Internal Medicine in Mobile, AL

Active since June 12, 2007
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 16, 2026.

Record update history: May 9, 2017, Feb 15, 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 1497959613) is a healthcare organization registered as an internal medicine in Mobile, Alabama and active in the NPI registry since June 2007. The organization lists Todd Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1497959613
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROVIDENCE HEALTHCARE SERVICES
Location Address5621 COTTAGE HILL RDMobile, AL 36609-4210
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 666-2439
Fax(251) 666-3166
Organization SubpartNo
Authorized OfficialTodd KennedyPresident · (251) 631-3574
Enumeration DateJune 12, 2007
Last NPPES UpdateMay 9, 20172 updates tracked since enumeration
✔ NPI 1497959613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5621 COTTAGE HILL RD, Mobile, AL 36609
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Other Names 1

Doing Business AsProvidence Medical Group

Other Identifiers 2

Medicare PINH969AL
Medicaid529907120AL

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

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.

DR. JAMES A HASSELL MD
Family Medicine
5621 COTTAGE HILL RD
MOBILE, AL 36609
Mobile County (251) 666-2439
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Family Medicine
5621 COTTAGE HILL RD
MOBILE, AL 36609
Mobile County (251) 666-2439
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Internal Medicine
5621 COTTAGE HILL RD
MOBILE, AL 36609
Mobile County (251) 666-2439
JULIA ANN BOYD CRNP
Nurse Practitioner
5621 COTTAGE HILL RD
MOBILE, AL 36609
Mobile County (251) 666-2439

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 Providence Healthcare Services's NPI number?

The NPI number for Providence Healthcare Services is 1497959613. It was assigned to this organization in the NPPES registry on June 12, 2007. The provider is doing business as Providence Medical Group.

Where is Providence Healthcare Services located?

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

What is Providence Healthcare Services's specialty?

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

When was this NPI record last updated?

The NPPES record for 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.