Organization Active NPI

Smith & Gayle Medical Center, LLC

  • Primary Care Clinic/Center
  • Mobile, AL
National Provider Identifier
1194806844
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SMITH & GAYLE MEDICAL CENTER, LLC
Practice address
1159 Spring Hill Ave
Mobile, AL 36604-2725
Phone
(251) 432-4188
Fax
(251) 432-4199
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Benjamin L Gayle Sr., MDNPI 1407885254
Title
Co Owner
Phone
(251) 432-4188

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1159 Spring Hill Ave
Mobile, AL 36604-2725

Mailing address

1159 Spring Hill Ave
Mobile, AL 36604-2725
Phone (251) 432-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070410000689 AL Part B Supplier - Clinic/Group Practice 5597860155 Receives reassigned benefits from 2 practitioners
Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

1159 Spring Hill Ave
Mobile, AL 36604
Phone (251) 432-4188

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21104/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1194806844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042725",
            "telephone_number": "251-432-4188",
            "fax_number": "251-432-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042725",
            "telephone_number": "251-432-4188",
            "fax_number": "251-432-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH & GAYLE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "251-432-4188",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "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 Dec 17, 2024; 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.

Verify at the official NPI Registry.