Organization Active NPI

Midtown Health and Wellness

  • Health Service Clinic/Center
  • Mobile, AL
National Provider Identifier
1023863388
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MIDTOWN HEALTH AND WELLNESS
Practice address
602 Bel Air Blvd Ste 9
Mobile, AL 36606-3502
Phone
(251) 533-3143
Fax
(251) 650-1525
NPI assigned
Apr 20, 2024
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Mrs. Ilene Boykin, FNP-NP-CNPI 1700289667
Title
Owner
Phone
(251) 533-3143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

602 Bel Air Blvd Ste 9
Mobile, AL 36606-3502

Mailing address

602 Bel Air Blvd Ste 9
Mobile, AL 36606-3502
Phone (251) 533-3143

Other identifiers 1

IdentifierTypeStateIssuer
177618MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260626003443 AL Part B Supplier - Clinic/Group Practice 5496228728 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

602 Bel Air Blvd
Ste 9
Mobile, AL 36606
Phone (251) 533-3143

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1023863388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BEL AIR BLVD STE 9",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063502",
            "telephone_number": "251-533-3143",
            "fax_number": "251-650-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BEL AIR BLVD STE 9",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063502",
            "telephone_number": "251-533-3143",
            "fax_number": "251-650-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-20",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-533-3143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-NP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177618",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.