Mobile Pediatric Clinic LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MOBILE PEDIATRIC CLINIC LLC

Practice address

6321 Piccadilly Square Dr Ste a
Mobile, AL 36609-5305

Phone

(251) 342-8900

Fax

(251) 342-2333

NPI assigned

Feb 7, 2014

Organization subpart

No

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

Authorized official

Name

Amy Collins

Title

Owner

Phone

(251) 610-1618

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mobile Pediatric Clinic LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mobile Pediatric Clinic LLC

  • Pediatrics Physician
  • Saraland, AL
  • NPI 1861869117
  NPD tax ID
• Mobile Pediatric Clinic LLC

  • Specialist
  • Mobile, AL
  • NPI 1902352180
  NPD tax ID
• Mobile Pediatric Clinic LLC

  • Pediatrics Physician
  • Mobile, AL
  • NPI 1912271834
  NPD tax ID

Locations

Practitioners 1

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

• Hannah Elizabeth Brooks, MD

  • Pediatrics Physician
  • Mobile, AL
  • NPI 1184206856
  NPD (past)

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1104240324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91899",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366911899",
            "telephone_number": "251-706-8170",
            "fax_number": "251-706-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 PICCADILLY SQUARE DR STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095305",
            "telephone_number": "251-342-8900",
            "fax_number": "251-342-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PEDIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-610-1618"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156442",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Obstetrics and Gynecology PC
• Mobile Open MRI LLC
• Mobile Orthodontics, LLC
• Mobile Orthopedic Center
• Mobile Pathology Group, PA
• Mobile Pediatric Clinic LLC
• Mobile Pediatric Clinic LLC
• Mobile Pediatric Dentistry
• Mobile Pharmacy Services LLC
• Mobile Physical Medicine & Wellness

• Pediatrics Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.