John Blake Guidry, MD
Individual provider Active NPI Internal Medicine Physician · Fairhope, AL
NPI 1124750435 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1124750435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 48125 (AL)
- Practice address
- 750 Morphy Ave
Fairhope, AL 36532-1812 - Phone
- (251) 435-7299
- Fax
- (251) 435-1616
- NPI assigned
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Imc-Hospitalists LLC
Practice addresses (Care Compare)
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 435-7289
Hospital & facility affiliations
- Amedisys Home Health of Foley
- Thomas Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250710004481 | AL | Practitioner - Internal Medicine | 3274048186 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Hospitalists LLC | Current |
Accepting new patients | |
| Gulf Health Hospitals, Inc | Past | Accepting new patients |
Locations
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
Interoperability endpoints
- jguidry114245@directinfirmaryhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 48125 | AL | Yes |
Addresses
Primary practice location
750 Morphy Ave
Fairhope, AL 36532-1812
Mailing address
1725 Spring Hill Ave
Mobile, AL 36604-1402
NPI Registry JSON
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1124750435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 SPRING HILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366041402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 MORPHY AVE",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321812",
"telephone_number": "251-435-7299",
"fax_number": "251-435-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDRY",
"first_name": "JOHN",
"middle_name": "BLAKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-27",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "48125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
- James J Griffin
- Rodger Lance Grissett
- Maggie Grissom
- Ronald Leon Gross
- Christy James Guepet
- Gulf Coast Lactation
- Gulf Coast Mental Health Services PC
- Gulf Coast Therapy Works, LLC
- Gulf Health Hospitals, Inc
- Gulf Health Hospitals, Inc
All providers in Fairhope, AL · Internal Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.