Active NPI
Healing Headquarters Inc
- Family Medicine Physician
- Mobile, AL
National Provider Identifier
1174411193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALING HEADQUARTERS INC
- Practice address
- 3090 Dauphin SQ Connector Ste D
Mobile, AL 36607-2500 - Phone
- (251) 202-3209
- NPI assigned
- Jun 26, 2025
- Last updated
- Mar 13, 2026
- 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
- Tyler Stout
- Title
- Director
- Phone
- (337) 315-7927
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3090 Dauphin SQ Connector Ste D
Mobile, AL 36607-2500
Mailing address
3090 Dauphin SQ Connector Ste D
Mobile, AL 36607-2500
Phone (251) 202-3209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3090 Dauphin Sq Connector
Ste D
Mobile, AL 36607
Phone (251) 202-3209
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Mobile, AL
- NPI 1548908874
-
- Family Medicine Physician
- Millry, AL
- NPI 1972786960
-
- Physician Assistant
- Mobile, AL
- NPI 1922299783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1174411193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 DAUPHIN SQ CONNECTOR STE D",
"city": "MOBILE",
"state": "AL",
"postal_code": "366072500",
"telephone_number": "251-202-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 DAUPHIN SQ CONNECTOR STE D",
"city": "MOBILE",
"state": "AL",
"postal_code": "366072500",
"telephone_number": "251-202-3209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HEADQUARTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "STOUT",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "337-315-7927"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
- Amanda L Hays, CRNP
- Latasha Haywood
- Lauren Anne Healey
- Healing Hands Senior Care LLC
- Healing Hart Ministry,Inc (Healing Heart Ministry)
- Healing Touch Chiropractic, PC
- Health 1St Laboratories & Diagnostics Inc
- Health Clinic Pharmacy LLC (Health Clinic Pharmacy)
- Health Options Plus, Inc (Dr. Chris Corsentino & Associates)
- Health Options Plus, Inc. (Dr. Corsentino and Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.