Organization Active NPI

Victory Pediatrics LLC

  • Pediatrics Physician
  • Mobile, AL
National Provider Identifier
1235853615
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VICTORY PEDIATRICS LLC
Practice address
3929 Airport Blvd Ste 2-413
Mobile, AL 36609-2239
Phone
(251) 301-1822
Fax
(251) 301-5571
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Carey McDadeNPI 1750532263
Title
MD /Owner
Phone
(251) 301-1822

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
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3929 Airport Blvd Ste 2-413
Mobile, AL 36609-2239

Mailing address

3929 Airport Blvd Ste 2-413
Mobile, AL 36609-2239
Phone (251) 301-1822

National Provider Directory

National Provider Directory

Locations

3929 Airport Blvd
Ste 2-413
Mobile, AL 36609
Phone (251) 301-1822

Practitioners & affiliated clinicians

Practitioners 1

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": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1235853615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 2-413",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092239",
            "telephone_number": "251-301-1822",
            "fax_number": "251-301-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 2-413",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092239",
            "telephone_number": "251-301-1822",
            "fax_number": "251-301-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "MCDADE",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "MD /OWNER",
        "authorized_official_telephone_number": "251-301-1822"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "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 Sep 29, 2022; 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.