Active NPI
Imc-North Baldwin Primary Plus, LLC
- Family Medicine Physician
- Bay Minette, AL
National Provider Identifier
1013283530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137896 | Medicaid | AL |
Other names 1
- North Baldwin Primary Plus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2042545 | North Baldwin Primary Plus | Certificate of waiver | May 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Mobile, AL
- NPI 1023085669
-
- Internal Medicine Physician
- Bay Minette, AL
- NPI 1497486625
-
- Family Nurse Practitioner
- Bay Minette, AL
- NPI 1326596354
-
- Internal Medicine Physician
- Bay Minette, AL
- NPI 1679654917
-
- Clinical Cardiac Electrophysiology Physician
- Jacksonville, FL
- NPI 1437485786
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
- Imc - Hand Ave Family Practice P.C.
- Imc North Baldwin Physician Group LLC
- Imc-Anesthesia Services, LLC
- Imc-Emergency Physicians LLC
- Imc-North Baldwin Internal Medicine LLC
- Christine Denise Jackson, APRN,FNP-C
- Latonya James, M.D
- Lindsey Neidhardt Jenkins, PHARMD
- Katie Joffe, PA-C
- Jennifer Johnson, SLP
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.