Individual provider Active NPI

Kristina Teresa Osborn

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1104182674
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD33123 Issued in AL
Practice address
1504 Spring Hill Ave
Suite 3414
Mobile, AL 36604-3207
Phone
(251) 434-3484
NPI assigned
Apr 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD33123 AL Primary

Addresses

Primary practice location

1504 Spring Hill Ave
Suite 3414
Mobile, AL 36604-3207

Mailing address

1504 Spring Hill Ave
Suite 3414
Mobile, AL 36604-3207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150122000865 AL Practitioner - Family Practice 9537309687 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
The Sylacauga Health Care AuthorityGroup PAC ID 5294710398, 44 clinicians

Practice addresses (Care Compare)

124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651

2030 Lay Dam Rd
Clanton, AL 35045-8344
Phone (205) 258-4400

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 401-4467

Hospital & facility affiliations

  • St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130
  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
58.1
Promoting interoperability
96
Improvement activities
40
Cost
72

Merit-based Incentive Payment System (MIPS)

Final score
45.86 of 100Reported as group
Quality
6.09
Improvement activities
40
Cost
81.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD33123ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC CurrentSince Mar 18, 2024 Accepting new patients
Southern Alabama Physicians LLP Current Accepting new patients
Flowers HB Medical Services LLC CurrentSince Oct 8, 2023 Accepting new patients
Nes Tennessee Inc Current Accepting new patients
The Sylacauga Health Care Authority CurrentSince Aug 1, 2017 Accepting new patients
The Sylacauga Health Care Authority Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Aug 1, 2015 Accepting new patients
American Family Care, LLC CurrentSince Nov 17, 2014 Accepting new patients
Nes Tennessee Inc CurrentSince Oct 1, 2017 Accepting new patients
Nes Tennessee Inc CurrentSince Oct 1, 2017 Accepting new patients
Emergency Services of Montgomery PC CurrentSince Mar 12, 2024 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Nov 17, 2014 Accepting new patients
Southern Alabama Physicians,LLP CurrentSince Jul 1, 2016 Accepting new patients
App of Alabama Ed PLLC CurrentSince Jan 1, 2018 Accepting new patients
Alabama Emergency Physician Partners, LLC Current Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
University of South Alabama Hospitals Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

75 Remit Dr
Chicago, IL 60675

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1104182674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SPRING HILL AVE",
            "address_2": "SUITE 3414",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 SPRING HILL AVE",
            "address_2": "SUITE 3414",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043207",
            "telephone_number": "251-434-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KRISTINA",
        "middle_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD33123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.