Active NPI
South Baldwin Diagnostic Imagine Associates, P.C.
- Specialist
- Foley, AL
National Provider Identifier
1124000856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- SOUTH BALDWIN DIAGNOSTIC IMAGINE ASSOCIATES, P.C.
- Practice address
- 1613 N McKenzie St
Foley, AL 36535-2247 - Phone
- (251) 949-1513
- Fax
- (251) 476-5460
- NPI assigned
- Nov 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark R Connell, M.D.
- Title
- Authorized Official
- Phone
- (251) 949-3513
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1613 N McKenzie St
Foley, AL 36535-2247
Mailing address
PO Box 160550
Altamonte Springs, FL 32716-0550
Phone (713) 559-6929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Foley, AL
- NPI 1730146069
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1306258751
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1104238575
-
- Diagnostic Radiology Physician
- Foley, AL
- NPI 1003899345
-
- Diagnostic Radiology Physician
- Foley, AL
- NPI 1235111964
-
- Diagnostic Radiology Physician
- Fairhope, AL
- NPI 1366424103
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1891777520
-
- Diagnostic Radiology Physician
- Pensacola, FL
- NPI 1750364097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742342400000",
"number": "1124000856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160550",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327160550",
"telephone_number": "713-559-6929",
"fax_number": "713-559-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352247",
"telephone_number": "251-949-1513",
"fax_number": "251-476-5460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BALDWIN DIAGNOSTIC IMAGINE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-17",
"last_updated": "2025-03-19",
"status": "A",
"authorized_official_last_name": "CONNELL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "251-949-3513",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
- South Alabama Hearing and Tinnitus Center, LLC
- South Alabama Radiation Oncology, PC
- South Baldwin Anesthesia, PC
- South Baldwin Childrens Center PC
- South Baldwin Dental Associates
- South Baldwin Family Practice LLC
- South Baldwin Obstetrics & Gynecology, P.C.
- South Baldwin Open MRI, LLC
- South Baldwin Pediatrics
- South Baldwin Podiatry, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.