Mizell Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MIZELL HEALTHCARE LLC

Practice address

1962 Spring Hill Ave
Mobile, AL 36607-2304

Phone

(251) 802-3595

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Babette Jackson

Title

Administrator

Phone

(251) 802-3595

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Southern Family Urgent Care Mobile Doing business as

Locations

Practitioners 2

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

• Sara Lynn Baylor, APRN, FNP-BC

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1184122020
  NPD
• Amanda Renia Mizell, CRNP

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1679896575
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1083339121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "GRAND BAY",
            "state": "AL",
            "postal_code": "365410787",
            "telephone_number": "251-802-3595",
            "fax_number": "228-896-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072304",
            "telephone_number": "251-802-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZELL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BABETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-802-3595",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293842",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Family Urgent Care Mobile",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Family Urgent Care Mobile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn McMillan Mitchell, CRNP
• Martha Mitchell
• Mittie'S Caregivers
• Kathryn Mixon, LGSW
• Hailey Marie Mize
• Rachel Mizell
• Mke Consulting, LLC
• Mlawson Home Care, LLC
• MM Home Medical LLC
• MMR Medical, LLC

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.