NPIMap

Organization Active NPI

Pathway Healthcare Alabama LLC

  • Addiction Medicine (Family Medicine) Physician
  • Mobile, AL
National Provider Identifier
1194208389
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
PATHWAY HEALTHCARE ALABAMA LLC
Practice address
580 Providence Park Dr E Ste 125
Mobile, AL 36695-4614
Phone
(251) 219-9810
NPI assigned
Sep 13, 2018
Last updated
Sep 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PATHWAY HEALTHCARE ALABAMA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Jennifer McEarl
Title
Business Office
Phone
(731) 891-0708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X NU Primary

Addresses

Primary practice location

580 Providence Park Dr E Ste 125
Mobile, AL 36695-4614

Mailing address

580 Providence Park Dr E Ste 125
Mobile, AL 36695-4614

National Provider Directory

National Provider Directory
Tax ID family
Pathway Partners5 organizations share this tax ID, including this one
Part of
Pathway Partners

Other organizations with this tax ID 4

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

Locations

580 Providence Park Dr E
Ste 125
Mobile, AL 36695
Phone (251) 219-9810

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1194208389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 PROVIDENCE PARK DR E STE 125",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PROVIDENCE PARK DR E STE 125",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954614",
            "telephone_number": "251-219-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY HEALTHCARE ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAY HEALTHCARE ALABAMA, LLC",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "MCEARL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "731-891-0708"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.