MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC.
NPI 1821340407
Family Medicine in Mobile, AL

Q: What is Mississippi Providence Healthcare Services Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 08, 2012

6701 AIRPORT BLVD, SUITE D430, MOBILE, AL 36608(251) 342-3949(251) 631-3361 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mississippi Providence Healthcare Services Inc. NPPES

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

MISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC. (NPI 1821340407) is a healthcare organization registered as a family medicine in Mobile, Alabama and active in the NPI registry since October 2012. The organization lists Clark P. Christianson, President, as its authorized official.

NPPES Registry Identity

NPI1821340407

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMISSISSIPPI PROVIDENCE HEALTHCARE SERVICES INC.

Location Address6701 AIRPORT BLVD, SUITE D430Mobile, AL 36608-6705

Mailing AddressPo Box 850489Mobile, AL 36685-0489 · (251) 342-3949 · Fax (251) 631-3361

Phone(251) 342-3949

Fax(251) 631-3361

Organization SubpartNo

Authorized OfficialClark P. ChristiansonPresident · (251) 633-1660

Enumeration DateOctober 8, 2012

✔ NPI 1821340407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

6701 AIRPORT BLVD, Mobile, AL 36608

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mississippi Providence Healthcare Services Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Mississippi Providence Healthcare Services Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice6

Nurse Practitioner4

Clinicians, nearest first (10)

Clay Agee, FNP-C

Nurse Practitioner

NPI 1194201277

6701 AIRPORT BLVD STE A101
Mobile, AL 36608

(251) 660-3515

✔ PECOS✔ Accepts MedicareSame address

Ara Travers, M.D.

Family Practice

NPI 1659314979

75 S UNIVERSITY BLVD
Mobile, AL 36608

(251) 660-5787

✔ PECOS✔ Accepts Medicare1.7 mi

Ursula Knight, FNP

Nurse Practitioner

NPI 1124576707

8006 HIGHWAY 613
Moss Point, MS 39562

(228) 475-1166

✔ PECOS✔ Accepts Medicare26 mi

Kenneth Long, D.O.

Family Practice

NPI 1346535390