THE UNIVERSITY OF SOUTH ALABAMA FAMILY PRACTICE (NPI# 1912385261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912385261 |
| Entity Type | Organization |
| Organization Name | THE UNIVERSITY OF SOUTH ALABAMA FAMILY PRACTICE |
| Practice Address |
1504 Spring Hill Ave 1800 Mobile AL 36604-3207 |
| Mailing Address |
3804 Cabana Sq 204 Mobile AL 36609-7610 |
| Practice Telephone | 2514343661 |
| Mailing Telephone | 2055231208 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | RENETTA DENISE MACMILLAN (MANAGER CLINICAL OPERATION) |
| Authorized Official Telephone | 2514343661 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2530 | AL | Ambulatory Health Care Facilities |
| Street Address |
1504 SPRING HILL AVE 1800 |
| City | MOBILE |
| State | AL |
| Zip Code | 36604-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760430268 | Kathryn A Stuart | Internal Medicine | 1504 Spring Hill Ave, Mobile, AL 36604-3207 | 2006-05-05 |
| 1720561210 | Jessica Caldwell Riggs | Audiologist | 1504 Spring Hill Ave, Mobile, AL 36604-3207 | 2018-09-11 |
| 1205369303 | Stephen Schottgen Jr. | Social Worker | 1504 Spring Hill Ave, Ste 1800, Mobile, AL 36604-3207 | 2017-04-05 |
| 1497206866 | Vaughn Millner | Counselor | 1504 Spring Hill Ave, Suite 1800, Mobile, AL 36604-3207 | 2016-10-20 |
| 1841650017 | University of South Alabama | Family Medicine | 1504 Spring Hill Ave, Ste 1800, Mobile, AL 36604-3207 | 2016-03-02 |
| 1477952901 | Amy Adams | Registered Nurse | 1504 Spring Hill Ave, Suite 1800, Mobile, AL 36604-3207 | 2014-08-20 |
| 1336556489 | Shannon Blanton | Social Worker | 1504 Spring Hill Ave, Mobile, AL 36604-3207 | 2014-07-21 |
| 1750700662 | Rachel Kabazzi | Student in an Organized Health Care Education/Training Program | 1504 Spring Hill Ave, Room 3414, Mobile, AL 36604-3207 | 2014-04-08 |
| 1366867418 | Jennifer Mcgahee | Social Worker | 1504 Spring Hill Ave, Mobile, AL 36604-3207 | 2014-02-26 |
| 1780024190 | Kimberly Whittington Brown | Registered Nurse | 1504 Spring Hill Ave, Mobile, AL 36604-3207 | 2013-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
| 1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
| 1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
| 1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
| 1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
| 1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
| 1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
| 1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
| 1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
| 1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
| Find all providers in zip 36604 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837311 | Altapointe Health Systems, Inc. | Clinic/Center | 2419 Gordon Smith Dr, Mobile, AL 36617-2318 | 2020-09-30 |
| 1164846283 | Mobile County Board of Health | Clinic/Center | 2601 Dauphin Island Pkwy, Dauphin Island Parkway Health Center, Mobile, AL 36605-3408 | 2014-02-10 |
| 1649523432 | Mobile County Board of Health | Clinic/Center | 5580 Inn Road, Mobile, AL 36619-1851 | 2012-10-18 |
| 1083709521 | Mobile County Board of Health | Clinic/Center | 4009 Saint Stephens Rd, Mobile, AL 36612-1231 | 2006-10-03 |
| 1164446753 | Mobile County Board of Health | Clinic/Center | 800 Whitley St, Mobile, AL 36610-3318 | 2006-07-27 |
| 1104895952 | Franklin Primary Health Center, Inc. | Clinic/Center | 1201 Spring Hill Ave, Mobile, AL 36604-2717 | 2006-03-15 |
| 1942817119 | Altapointe Health Systems, Inc. | Clinic/Center | 7280 Sellers Ln, Mobile, AL 36608-4646 | 2020-09-30 |
| 1508035171 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2008-02-27 |
| 1205042041 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2007-05-16 |
| 1134333784 | Mobile County Board of Health | Clinic/Center | 251 N Bayou St, Mobile, AL 36603-5827 | 2007-05-10 |
| Find all providers in MOBILE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.