ALABAMA PROVIDENCE HEALTHCARE SERVICES (NPI# 1780043075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780043075 |
| Entity Type | Organization |
| Organization Name | ALABAMA PROVIDENCE HEALTHCARE SERVICES |
| Other Organization Name | PROVIDENCE MEDICAL GROUP-FOLEY |
| Practice Address |
1851 N Mckenzie St Suite 206 Foley AL 36535-4700 |
| Mailing Address |
6701 Airport Blvd Suite 143 Mobile AL 36608-6705 |
| Practice Telephone | 2513423949 |
| Practice Fax Number | 2516313361 |
| Mailing Telephone | 2513423949 |
| Mailing Fax Number | 2516313361 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | MR. TODD KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 2516338880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 156183 | 05 | |
| AL | MEDICARE | 102G702814 | 01 |
| Other Name | Type Code |
|---|---|
| Providence Medical Group-Foley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316464183 | Alabama Providence Healthcare Services | Family Medicine | 411 N Section St, Fairhope, AL 36532-2649 | 2017-08-23 |
| 1093241671 | Alabama Providence Healthcare Services | Otolaryngology | 6701 Airport Blvd, Suite B123, Mobile, AL 36608-6705 | 2017-05-03 |
| 1730613431 | Alabama Providence Healthcare Services | Pediatrics | 6908 Providence Park Dr S, Mobile, AL 36695-4600 | 2017-04-19 |
| 1447799861 | Alabama Providence Healthcare Services | Family Medicine | 5621 Cottage Hill Rd, Mobile, AL 36609-4210 | 2017-02-17 |
| 1629511753 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Ste B215, Mobile, AL 36608-6705 | 2016-11-21 |
| 1891245692 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite D143, Mobile, AL 36608-6705 | 2016-10-05 |
| 1649634395 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2016-04-08 |
| 1558725200 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite B329, Mobile, AL 36608-6705 | 2016-04-08 |
| 1851755581 | Alabama Providence Healthcare Services | Specialist | 6701 Airport Blvd, Suite B222, Mobile, AL 36608-6705 | 2016-04-08 |
| 1689038382 | Alabama Providence Healthcare Services | Specialist | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2016-04-08 |
| Street Address |
1851 N MCKENZIE ST SUITE 206 |
| City | FOLEY |
| State | AL |
| Zip Code | 36535-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023002193 | Gregory Nelson Joy | Ophthalmology | 1851 N Mckenzie St, Suite 106, Foley, AL 36535-4704 | 2005-09-06 |
| 1609404904 | Brenda Nguyen | Student in an Organized Health Care Education/Training Program | 1851 N Mckenzie St, Foley, AL 36535-4700 | 2020-03-31 |
| 1174167092 | Justine Harris Mckee | Student in an Organized Health Care Education/Training Program | 1851 N Mckenzie St, Foley, AL 36535-4700 | 2019-11-04 |
| 1891252193 | Jonathan Stroup | Student in an Organized Health Care Education/Training Program | 1851 N Mckenzie St, Foley, AL 36535-4700 | 2019-02-23 |
| 1689043515 | Ent Centers of Excellence | Otolaryngology | 1851 N Mckenzie St, Suite 106, Foley, AL 36535-4700 | 2015-09-22 |
| 1053655886 | Dr Gregory N Joy PC | Ophthalmology | 1851 N Mckenzie St, Ste 106, Foley, AL 36535-4704 | 2012-11-16 |
| 1760595615 | William D Denney | Internal Medicine | 1851 N Mckenzie St, Suite 202, Foley, AL 36535-4700 | 2006-08-16 |
| 1659326932 | Billy August | Internal Medicine | 1851 N Mckenzie St, Suite 206, Foley, AL 36535-4700 | 2006-05-24 |
| 1619928165 | Sacred Heart Hospital of Pensacola | Clinic/Center | 1851 N Mckenzie St, Foley, AL 36535-4700 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800273 | Symbol Health Solutions, L.lc. | Clinic/Center | 910 Vulcan St, Foley, AL 36535 | 2020-07-31 |
| 1437614245 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 2614 S. Mckenzie St., Foley, AL 36535 | 2019-02-06 |
| 1811471360 | Jenny Murphy Smith | Nurse Practitioner | 8158 State Hwy 59 #107, Foley, AL 36535 | 2018-09-20 |
| 1205337904 | Susan Denise Corbin | Social Worker | 623a West Laurel Aveune, Foley, AL 36535 | 2018-02-27 |
| 1841728904 | Candice Marie Osborne | Pharmacist | 2200 South Mckenzie Street, Foley, AL 36535 | 2017-06-01 |
| 1043760622 | Clay Dental | Dentist | 7801 Highway 59, Suite F, Foley, AL 36535 | 2016-10-07 |
| 1487063996 | Gulf Coast Specialty Pharmacy LLC | Pharmacy | 110-a East Azalea Ave, Foley, AL 36535 | 2014-08-08 |
| 1699180315 | Emerald Sands Medical Center | Clinic/Center | 8158 Us Hwy 59, Suite 107, Foley, AL 36535 | 2014-06-23 |
| 1134532807 | Allison Burgess | Nurse Practitioner | 8158 Us Highway 59, Suite 107, Foley, AL 36535 | 2014-06-10 |
| 1346675196 | Gary A. Eberly, Md PC | Pediatrics | 1090 E Laurel Ave., Foley, AL 36535 | 2013-09-12 |
| Find all providers in zip 36535 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760874176 | Compassionate Care Physicians Group LLC | Family Medicine | 2159 S Mckenzie St, Suite 233, Foley, AL 36535-1752 | 2015-02-22 |
| 1508106592 | Immediate Care Foley LLC | Family Medicine | 1265 S Mckenzie St, Foley, AL 36535-1818 | 2013-02-27 |
| 1396094140 | Foley Urgent Care LLC | Family Medicine | 225 W 9th Ave, Foley, AL 36535-1745 | 2012-09-06 |
| 1265749352 | Michael David Williams | Family Medicine | 205 W Orange Ave, Foley, AL 36535-1905 | 2010-09-10 |
| 1659699288 | Clifford Dillon Stiles | Family Medicine | 471 Hwy 23 Ne, Foley, MN 56329 | 2010-05-06 |
| 1831328343 | Amanda Keith Smith | Family Medicine | 22394 Miflin Rd Ste 203, Foley, AL 36535-9593 | 2009-07-06 |
| 1487828729 | Jason D Harrah Md | Family Medicine | 300 E Laurel Ave, Foley, AL 36535-2618 | 2008-04-17 |
| 1134203706 | Kevin K Stiles | Family Medicine | 471 Highway 23, Foley Medical Center, Foley, MN 56329-0218 | 2006-10-24 |
| 1366525099 | Barbara Blumer Corcoran | Family Medicine | 1628 N Mckenzie Street, Ste 102, Foley, AL 36535-2248 | 2006-10-24 |
| 1376623561 | Kenneth Dean Mcleod Sr. | Family Medicine | 1511 N Mckenzie St, Foley, AL 36535-2235 | 2006-10-16 |
| Find all providers in FOLEY | ||||
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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.