SOUTHERN CANCER CENTER, PC
NPI 1578629556
Internal Medicine - Hematology & Oncology in Mobile, AL
NPI Status: Active since December 28, 2006
Contact Information
6701 AIRPORT BLVD
B BLDG., T LEVEL
MOBILE, AL
ZIP 36608
Phone: (251) 625-6896
Fax: (251) 266-3209
- Organization
- Internal Medicine
- Hematology & Oncology
- Accepts Insurance
- CLIA Number: 01D0305732
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-11-2026
About SOUTHERN CANCER CENTER, PC
This page provides the complete NPI Profile along with additional information for Southern Cancer Center, Pc, an internist established in Mobile, Alabama operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1578629556 assigned on December 2006. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated one year ago. Southern Cancer Center, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lauren Pettis Rn/ocn (Executive Director)
- NPI
- 1578629556
- Provider Name
- SOUTHERN CANCER CENTER, PC
- Entity Type
- Organization
- Location Address
- 6701 AIRPORT BLVD B BLDG., T LEVEL MOBILE, AL 36608
- Location Phone
- (251) 625-6896
- Location Fax
- (251) 266-3209
- Mailing Address
- 29653 ANCHOR CROSS BLVD DAPHNE, AL 36526
- Mailing Phone
- (251) 625-6896
- Mailing Fax
- (251) 266-3209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2006
- Last Update Date
- 12-16-2025
- Code Navigator
An internist like Southern Cancer Center, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 6701 Airport Blvd Ste B222
Mobile, AL 36608
(251) 633-0663 - 29653 Anchor Cross Blvd
Daphne, AL 36526
(251) 625-6896 - 3 Mobile Infirmary Cir Ste 302
Mobile, AL 36607
(251) 625-6896 - 3719 Dauphin St Fl 5
Mobile, AL 36608
(251) 625-6896 - 1703 N Bunner St
Foley, AL 36535
(251) 625-6896 - 201 Sivley Rd SW Ste 200
Huntsville, AL 35801
(251) 625-6896 - 669 S McKenzie St Ste 103
Foley, AL 36535
(251) 625-6896
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RX0202X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | |
| 3 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 4 | 2086X0206X | Allopathic & Osteopathic Physicians | Surgery | |
| 5 | 332900000X | Suppliers | Non-Pharmacy Dispensing Site |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoice) + Vision + Adult Dental - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Clarity Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 280449 | MEDICAID (05) | AL | |
| 262637 | MEDICAID (05) | AL | |
| 529932170 | MEDICAID (05) | AL | |
| 221523 | MEDICAID (05) | AL | |
| 279717 | MEDICAID (05) | AL | |
| 216459 | MEDICAID (05) | AL | |
| 148349 | MEDICAID (05) | AL | |
| 529932140 | MEDICAID (05) | AL | |
| 529932160 | MEDICAID (05) | AL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D0305732
- Facility Type
- Physician Office
- Certificate Effective Date
- September 12, 2024
- Certificate Expiration Date
- September 11, 2026
- Laboratory Director
- MS. VALANITA H. SCHNYDER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Southern Cancer Center, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578629556, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
MOBILE, AL 36608
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578629556, enumerated as an "organization" on December 28, 2006.
The provider is located at 6701 AIRPORT BLVD B BLDG., T LEVEL MOBILE, AL 36608 and the phone number is (251) 625-6896.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
