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PROVIDENCE MEDICAL GROUP
NPI 1629407721
Family Medicine in Mobile, AL

Active since November 08, 2013
5100 RANGELINE ROAD N, MOBILE, AL 36619(251) 661-4454(251) 631-9843 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1629407721) is a healthcare organization registered as a family medicine in Mobile, Alabama and active in the NPI registry since November 2013. The organization lists Todd S. Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1629407721
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES
Location Address5100 RANGELINE ROAD NMobile, AL 36619-9504
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 661-4454
Fax(251) 631-9843
Organization SubpartYes
Authorized OfficialTodd S. KennedyPresident · (251) 633-1660
Enumeration DateNovember 8, 2013
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1629407721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X
5100 RANGELINE ROAD N, Mobile, AL 36619
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Other Names 1

Other NameProvidence Medical Group

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 3

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

SETON MEDICAL MANAGEMENT INC.
Preventive Medicine (Occupational Medicine)
5100 RANGELINE ROAD N
MOBILE, AL 36619
Mobile County (251) 378-4000
MS. MABLE JEANNETTE ELKINS ARNP
Nurse Practitioner (Adult Health)
5100 RANGELINE ROAD N
MOBILE, AL 36619
Mobile County (251) 661-4454
DR. JOEL PARKER LAUGHLIN MD
Family Medicine
5100 RANGELINE ROAD N
MOBILE, AL 36619
Mobile County (251) 661-4454

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 1629407721. It was assigned to this organization in the NPPES registry on November 8, 2013. The provider is also known as Providence Medical Group.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 5100 Rangeline Road N, Mobile, AL 36619. The listed phone number is (251) 661-4454.

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 September 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.