Alabama Professional Care Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

11900 Issued in AL

Legal business name

ALABAMA PROFESSIONAL CARE INC

Practice address

578 Azalea Rd
#119
Mobile, AL 36609-1551

Phone

(877) 827-6085

NPI assigned

Nov 20, 2008

Last updated

Nov 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Forest Jackson III, M.D.

Title

President

Phone

(877) 827-6085

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1275788010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 AZALEA RD",
            "address_2": "#119",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091551",
            "telephone_number": "877-827-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 AZALEA RD",
            "address_2": "#119",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091551",
            "telephone_number": "877-827-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA PROFESSIONAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "FOREST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-827-6085",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "11900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alabama Providence Healthcare Services (Providence Medical Group)

• Gastroenterology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Gastroenterology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.