Organization Active NPI

Imc-North Baldwin Primary Plus, LLC

  • Family Medicine Physician
  • Bay Minette, AL
National Provider Identifier
1013283530
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IMC-NORTH BALDWIN PRIMARY PLUS, LLC
Practice address
2115 Hand Ave Ste B
Bay Minette, AL 36507-4149
Phone
(251) 937-7100
NPI assigned
Mar 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phillip L Cowart
Title
VP Finance
Phone
(251) 435-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2115 Hand Ave Ste B
Bay Minette, AL 36507-4149

Mailing address

2115 Hand Ave
Bay Minette, AL 36507-4149
Phone (251) 937-7100

Other identifiers 1

IdentifierTypeStateIssuer
137896MedicaidAL

Other names 1

  • North Baldwin Primary Plus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000267 AL Part B Supplier - Clinic/Group Practice 4880857952 Receives reassigned benefits from 4 practitioners
Practice locations: Bay Minette, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2042545North Baldwin Primary Plus2115 Hand Avenue, Suite B, Bay Minette, AL 36507Certificate of waiverMay 15, 2027

National Provider Directory

National Provider Directory

Locations

2115 Hand Ave
Ste B
Bay Minette, AL 36507
Phone (251) 937-7100

2115 Hand Ave
Bay Minette, AL 36507
Phone (251) 937-2823

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1013283530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074149",
            "telephone_number": "251-937-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 HAND AVE STE B",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074149",
            "telephone_number": "251-937-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC-NORTH BALDWIN PRIMARY PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "251-435-1361"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137896",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Baldwin Primary Plus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Baldwin Primary Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.