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PROVIDENCE MEDICAL GROUP
NPI 1700215894
Family Medicine in Citronelle, AL

Active since November 08, 2013
19140 S 3RD ST, CITRONELLE, AL 36522(251) 866-0086(251) 866-0089 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Medical Group NPPES

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

PROVIDENCE MEDICAL GROUP (NPI 1700215894) is a healthcare organization registered as a family medicine in Citronelle, Alabama and active in the NPI registry since November 2013. The organization lists Todd S. Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1700215894
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES
Location Address19140 S 3RD STCitronelle, AL 36522-2306
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 866-0086
Fax(251) 866-0089
Organization SubpartYes
Authorized OfficialTodd S. KennedyPresident · (251) 633-1660
Enumeration DateNovember 8, 2013
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1700215894 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 ListedInternal MedicineTaxonomy 207R00000X
19140 S 3RD ST, Citronelle, AL 36522
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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 5

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

BRITTANY LETRELLE BARNES M.D.
Family Medicine
19140 S 3RD ST
CITRONELLE, AL 36522
Mobile County (251) 866-0086
ALTAPOINTE HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
19140 S 3RD ST
CITRONELLE, AL 36522
Mobile County (251) 450-5916
PROVIDENCE HEALTHCARE SERVICES
Family Medicine
19140 S 3RD ST
CITRONELLE, AL 36522
Mobile County (251) 866-0086
MS. HILLARY MACALL WHITFIELD CRNP
Nurse Practitioner
19140 S 3RD ST
CITRONELLE, AL 36522
Mobile County (251) 866-0086
REBECCA REID ALC
Counselor (Mental Health)
19140 S 3RD ST
CITRONELLE, AL 36522
Mobile County (251) 316-7603

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 1700215894. 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 19140 S 3rd St, Citronelle, AL 36522. The listed phone number is (251) 866-0086.

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 with the weekly NPPES data releases published by CMS.