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PROVIDENCE MEDICAL GROUP
NPI 1780099242
Internal Medicine in Mobile, AL

Active since June 24, 2014
6701 AIRPORT BLVD, SUITE A107, MOBILE, AL 36608(251) 633-8880(251) 633-2817 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 1780099242) is a healthcare organization registered as an internal medicine in Mobile, Alabama and active in the NPI registry since June 2014. The organization lists Todd S. Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1780099242
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameALABAMA PROVIDENCE HEALTHCARE SERVICES
Location Address6701 AIRPORT BLVD, SUITE A107Mobile, AL 36608-6705
Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361
Phone(251) 633-8880
Fax(251) 633-2817
Organization SubpartNo
Authorized OfficialTodd S. KennedyPresident · (251) 633-1660
Enumeration DateJune 24, 2014
Last NPPES UpdateSeptember 28, 2015
✔ NPI 1780099242 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.
6701 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

Other Providers at the Same Location NPPES 20

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

MRS. LISA M MCKINLEY CRNA
Nurse Anesthetist, Certified Registered
6701 AIRPORT BLVD, SUITE 430
MOBILE, AL 36608
Mobile County (251) 631-3270
PROVIDENCE HEALTHCARE SERVICES
Obstetrics & Gynecology (Gynecologic Oncology)
6701 AIRPORT BLVD, SUITE B127
MOBILE, AL 36608
Mobile County (251) 631-3490
SETON MEDICAL MANAGEMENT INC.
Nurse Practitioner
6701 AIRPORT BLVD, SUITE C132
MOBILE, AL 36608
Mobile County (251) 631-3501
PETER CHESTNUTT COATS M.D.
Internal Medicine
6701 AIRPORT BLVD, SUITE A-101
MOBILE, AL 36608
Mobile County (251) 633-8880
MOBILE SURGERY CLINICS
Surgery
6701 AIRPORT BLVD, D231
MOBILE, AL 36608
Mobile County (251) 631-3530
BLANKENSHIP GENERAL SURGERY, LLC
Surgery
6701 AIRPORT BLVD, SUITE B-316
MOBILE, AL 36608
Mobile County (251) 634-2900
DR. CHRYSTAL MICHELLE GRIFFIS M.D.
Internal Medicine
6701 AIRPORT BLVD, SUITE A101
MOBILE, AL 36608
Mobile County (251) 633-8880
WARREN E. KOFFLER M.D.
Internal Medicine
6701 AIRPORT BLVD, SUITE A-101
MOBILE, AL 36608
Mobile County (251) 633-8880

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 1780099242. It was assigned to this organization in the NPPES registry on June 24, 2014. The provider is doing business as Providence Medical Group.

Where is Alabama Providence Healthcare Services located?

Alabama Providence Healthcare Services is located at 6701 Airport Blvd Suite A107, Mobile, AL 36608. The listed phone number is (251) 633-8880.

What is Alabama 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 Alabama Providence Healthcare Services was last updated on September 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.