Organization Active NPI

Azalea City Primary Care and Wellness

  • Primary Care Clinic/Center
  • Mobile, AL
National Provider Identifier
1083480453
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AZALEA CITY PRIMARY CARE AND WELLNESS
Practice address
602 Bel Air Blvd Ste 14
Mobile, AL 36606-3502
Phone
(251) 372-0858
Fax
(251) 494-2034
NPI assigned
Nov 28, 2023
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Tasha Latiya Jones, DNP, CRNPNPI 1386206688
Title
Administrator
Phone
(251) 422-4336

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 1

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

Addresses

Primary practice location

602 Bel Air Blvd Ste 14
Mobile, AL 36606-3502

Mailing address

602 Bel Air Blvd Ste 14
Mobile, AL 36606-3502
Phone (251) 372-0858

National Provider Directory

National Provider Directory

Locations

358 Saint Louis St
Mobile, AL 36602
Phone (404) 771-6090

602 Bel Air Blvd
Ste 14
Mobile, AL 36606
Phone (251) 372-0858

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": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1083480453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BEL AIR BLVD STE 14",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063502",
            "telephone_number": "251-372-0858",
            "fax_number": "844-469-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BEL AIR BLVD STE 14",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366063502",
            "telephone_number": "251-372-0858",
            "fax_number": "251-494-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA CITY PRIMARY CARE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "LATIYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-422-4336",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 Mar 16, 2026; 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.