NPIMap

Organization Active NPI

Sage Health Alabama LLC

  • Primary Care Clinic/Center
  • Mobile, AL
National Provider Identifier
1063123602
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAGE HEALTH ALABAMA LLC
Practice address
1500 Government St Ste a
Mobile, AL 36604-2020
Phone
(251) 800-9294
NPI assigned
Dec 5, 2022
Last updated
Aug 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
John Haskell
Title
Ceo
Phone
(615) 988-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1500 Government St Ste a
Mobile, AL 36604-2020

Mailing address

501 Union St Suite 545
PMB 82739
Nashville, TN 37219-1876

Other practice location 1

2318 Saint Stephens Rd
Mobile, AL 36617-3615
Phone (251) 308-5689

Other practice location 2

2948 Carter Hill Rd
Montgomery, AL 36106-2531
Phone (334) 694-2262

Other practice location 3

3980 Airport Blvd Ste I
Mobile, AL 36608-2224
Phone (251) 214-0908

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230814001265 AL Part B Supplier - Clinic/Group Practice 9537521182 Receives reassigned benefits from 11 practitioners
Practice locations: Mobile, AL; Montgomery, AL

National Provider Directory

National Provider Directory

Locations

1500 Government St
Mobile, AL 36604

1500 Government St
Ste A
Mobile, AL 36604
Phone (251) 800-9294

2318 Saint Stephens Rd
Mobile, AL 36617
Phone (251) 308-5689

3980 Airport Blvd
#I
Mobile, AL 36608
Phone (251) 214-0908

3980 Airport Blvd
Ste 1
Mobile, AL 36608

2948 Carter Hill Rd
Montgomery, AL 36106
Phone (334) 694-2262

501 Union St
Ste 545
Nashville, TN 37219
Phone (423) 202-4047

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1063123602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 UNION ST SUITE 545",
            "address_2": "PMB 82739",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GOVERNMENT ST STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042020",
            "telephone_number": "251-800-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2318 Saint Stephens Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366173615",
            "country_code": "US",
            "telephone_number": "251-308-5689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2948 Carter Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361062531",
            "country_code": "US",
            "telephone_number": "334-694-2262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3980 Airport Blvd Ste I",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366082224",
            "country_code": "US",
            "telephone_number": "251-214-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGE HEALTH ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-988-9771"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 1, 2024; 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.