UNIVERSITY OF SOUTH ALABAMA


Address: 5870 Alumni Cir, Mobile, AL 36688-0001
Phone: 2514607151

UNIVERSITY OF SOUTH ALABAMA (NPI# 1992746838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992746838
Entity Type Organization
Organization Name UNIVERSITY OF SOUTH ALABAMA
Other Organization Name USA STUDENT HEALTH CENTER
Practice Address 5870 Alumni Cir
Mobile
AL 36688-0001
Practice Telephone 2514607151
Practice Fax Number 2514148227
Mailing Telephone 2514607151
Mailing Fax Number 2514148227
Enumeration Date 2006-06-10
Last Update Date 2016-08-23
Authorized Official Name BEVERLY KELLEN (PRACTICE DIRECTOR)
Authorized Official Telephone 2514607681
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL BCBS W531 01
AL 529928530 05

Other Provider/Organization Names

Other Name Type Code
USA Student Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1962862078 University of South Alabama Internal Medicine 75 S University Blvd Ucom 6000 B, Mobile, AL 36688-0002 2016-03-02
1972963064 University of South Alabama Internal Medicine 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 2016-03-02
1992013593 University of South Alabama Clinic/Center 1119 Hahn, 5721 Usa North Drive, Mobile, AL 36688-0002 2010-09-16
1689995748 University of South Alabama General Acute Care Hospital 251 Cox St Ste 100, Mobile, AL 36604-3302 2010-06-11
1235290628 University of South Alabama Case Management 1714 Center St, Mobile, AL 36604-3301 2006-12-12
1972138022 University of South Alabama General Acute Care Hospital 2451 University Hospital Dr, Mobile, AL 36617-2300 2020-03-10
1760959613 University of South Alabama Clinic/Center 1610 Center St Ste B, Mobile, AL 36604-1512 2018-10-30
1205303153 University of South Alabama Clinic/Center 1610 Center St Ste B, Mobile, AL 36604-1512 2018-10-30
1295202141 University of South Alabama Clinic/Center 1610 Center St Ste B, Mobile, AL 36604-1512 2018-10-30
1396225090 University of South Alabama Ambulance 1700 Center St, Mobile, AL 36604-3301 2018-08-21

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UNIVERSITY OF SOUTH ALABAMA 307 Univeristy Blvd 380 Administration Bldg, Mobile, AL 36688-3053

Office Location

Street Address 5870 ALUMNI CIR
City MOBILE
State AL
Zip Code 36688-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295826378 Kathrine H Malozzi Family Medicine 5870 Alumni Cir, Mobile, AL 36688-0002 2006-09-27
1861420572 Lynne Ann Wright Family Medicine 5870 Alumni Cir, Mobile, AL 36688-0002 2006-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144742453 David Thomas Bailey Physician Assistant Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 2017-07-10
1447783766 Elijah Fox Student in an Organized Health Care Education/Training Program 1700 Center St., Cweb 1, Room 1538, Mobile, AL 36688 2017-04-04
1164855805 Khaled Abdelmagid Student in an Organized Health Care Education/Training Program 1700 Center St, Cweb 1, Rm 1538, Mobile, AL 36688 2013-08-16
1154614428 Karen Marlowe Pharmacist 650 Clinic Drive - Suite 2100, Mobile, AL 36688 2011-05-19
1770620239 Claude Vincent Dwyer IIi Radiologic Technologist 307 University, Mobile, AL 36688 2007-01-31
1225661523 Jacob Rosner Student in an Organized Health Care Education/Training Program 5795 Usa Drive North Csab 170, Mobile, AL 36688-0001 2020-02-15
1215569249 Lisa K. Morris Nurse Practitioner 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 2020-02-07
1467014019 Victoria Suzanne Henbest Speech-Language Pathologist 5721 Usa North Drive, Mobile, AL 36688-0001 2019-07-03
1730642513 Tyler Lee Sturdivant Clinical Nurse Specialist 5721 Usa Drive North Hahn 4067, Mobile, AL 36688-0001 2019-04-09
1730648346 Laboratory Corporation of America Holdings Clinical Medical Laboratory 5870 Alumni Drive, Mobile, AL 36688-0001 2019-03-14
Find all providers in zip 36688

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194105361 Md Mobile Care, Inc Family Medicine 600 Clinic Drive Suite 2800, Mobile, AL 36688-0001 2015-06-03
1417349580 Jasmine P Gaines Family Medicine 801 S University Blvd Ste D, Mobile, AL 36609-2949 2015-02-26
1871992834 Focusal1010 Family Medicine 3165 Dauphin St, Mobile, AL 36606-4061 2014-08-15
1659665123 William E Barber Family Medicine 1504 Springhill Ave, University of South Alabama, Department of Family Medicine, Rm 3414, Mobile, AL 36604-3273 2011-06-02
1598061517 Affordable Medical Clinic of Alabama Family Medicine 4701 Airport Blvd, Suite 200, Mobile, AL 36608-3187 2011-02-09
1952617508 Gmuc of Springhill LLC Family Medicine 4402 Old Shell Rd, Mobile, AL 36608-1912 2010-08-20
1356585301 Keva Wontoria Collier Family Medicine 2889 Sollie Rd, 1321, Mobile, AL 36695-5532 2009-04-21
1912101981 Providence Healthcare Services Family Medicine 6901 Airport Blvd, Mobile, AL 36608-3795 2007-06-13
1740484955 Providence Healthcare Services Family Medicine 8833 Cottage Hill Rd, Mobile, AL 36695-8345 2007-06-12
1124222427 Providence Healthcare Services Family Medicine 5100 Rangeline Road North, Mobile, AL 36619-9504 2007-06-12
Find all providers in MOBILE

Competitor

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City MOBILE
Zip Code 36688

Improve Information

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Dataset Information

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.

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