PROVIDENCE MEDICAL GROUP
NPI 1679932248
General Practice in Mobile, AL

Q: What is Alabama Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since February 11, 2016

9971 AIRPORT BLVD, MOBILE, AL 36608(251) 342-3949(251) 631-3361 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1679932248) is a healthcare organization registered as a general practice in Mobile, Alabama and active in the NPI registry since February 2016. The organization lists Todd S Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1679932248

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES

Location Address9971 AIRPORT BLVDMobile, AL 36608-9525

Mailing Address6701 Airport Blvd, Suite 143Mobile, AL 36608-6705 · (251) 342-3949 · Fax (251) 631-3361

Phone(251) 342-3949

Fax(251) 631-3361

Organization SubpartNo

Authorized OfficialTodd S KennedyPresident · (251) 633-8880

Enumeration DateFebruary 11, 2016

✔ NPI 1679932248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9971 AIRPORT BLVD, Mobile, AL 36608

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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

Medical Equipment Supplier Medicare DMEPOS 43

Medicare supplier enrollment and the product categories Providence Home Medical Services Ll carries, from the Medicare DMEPOS supplier directory.

Providence Home Medical Services Ll

DMEPOS supplier · Mobile, ALOperated by Providence Home Medical Services LLC

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Does not accept Medicare assignment

Providence Home Medical Services Ll has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20505887

Medicare Participant SinceApril 4, 2014

Supplier Location6701 Airport Blvd Ste B121Mobile, AL 36608

Phone(251) 633-7491

Provider TypeOxygen & Equipment

Supplier Specialties

Medical Supply Company Other MSC With Respiratory Therapist MSC With Orthotic Personnel

Medicare Product Categories

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Hospital Beds (Electric)

Total electric hospital beds, Semi-electric hospital beds

Hospital Beds (Manual)

Fixed height hospital beds, Variable height hospital beds

Infrared Heating Pads Systems and/or Supplies

Infrared Heating Pad Systems, Replacement Pads

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Neuromuscular Elect Stimulators (NMES)/Supplies

Electrodes, lead wires, adhesive tape

Pneumatic Compression Devices and/or Supplies

Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance

Speech Generating Devices

Digitized speech devices, Synthesized speech devices

Support Surfaces: Pressure Reducing Beds/Mats/Pads

Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed

Traction Equipment

Traction tables, Traction machines, Inversion tables

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Patient Lifts

Ceiling lifts, Slings

Power Operated Vehicles (Scooters)

Scooters

Seat Lift Mechanisms

Lift chair

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Wheelchairs (Standard Manual)

Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Manual Related Accessories)

Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs

Wheelchairs (Standard Power)

Standard power wheelchairs, Heavy duty standard power wheelchairs

Wheelchairs (Standard Power Related Accessories)

Accessories for standard power wheelchairs, heavy duty standard power wheelchairs

Wheelchair Seating/Cushions

Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Penile Pumps

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Tracheotomy Supplies

Tracheostomy care kits

Urological Supplies

Catheters, Urinary collection devices

Enteral Nutrients

Enteral formula

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Continuous Positive Airway Pressure (CPAP) Devices

CPAP machines, Compressor systems, Humidifiers, Masks

High Freq Chest Wall Oscillation Devices/Supplies

Generator system, Vest, Hoses

Intermittent Positive Pressure Breathing IPPB DEV

Intermittent assist devices

Intrapulmonary Percussive Ventilation Devices

Intrapulmonary percussive ventilation compressor, hand held units, tubing

Mechanical In-Exsufflation Devices

Mechanical in-exsufflation devices are designed to slowly inflate the lungs with positive pressure during inspiration and simulate cough with rapidly applied negative pressure during expiration.

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Oxygen Equipment and/or Supplies

Portable oxygen systems, Oxygen concentrators, Oxygen contents

Respiratory Assist Devices

Respiratory Suction Pumps

Portable suction pumps, Stationary suction pumps, Canisters

Ventilators Accessories and/or Supplies

Volume control ventilator, Pressure support ventilator

Surgical Dressings

Gauze, Elastic bandages, Adhesive tape

Lymphedema Compression Treatment Items

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

AMANDA BUSBY LORD CRNP

Nurse Practitioner (Family)

9971 AIRPORT BLVD
MOBILE, AL 36608

Mobile County (251) 660-3500

JAMES LESLIE RUBLE M.D.

Family Medicine

9971 AIRPORT BLVD
MOBILE, AL 36608

Mobile County (251) 660-3500

DR. ASHLEY ELIZABETH DAVIS

Family Medicine

9971 AIRPORT BLVD
MOBILE, AL 36608

Mobile County (251) 660-3500

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 1679932248. It was assigned to this organization in the NPPES registry on February 11, 2016. The provider is doing business as Providence Medical Group.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 9971 Airport Blvd, Mobile, AL 36608. The listed phone number is (251) 342-3949.

What is Alabama Providence Healthcare Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Alabama Providence Healthcare Services accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Providence Home Medical Services Ll does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Alabama Providence Healthcare Services was last updated on February 11, 2016. 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.