Active NPI
Telomere Concierge
- Adult Medicine Physician
- Mobile, AL
National Provider Identifier
1336057603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- TELOMERE CONCIERGE
- Practice address
- 2864 Dauphin St Ste a
Mobile, AL 36606-2440 - Phone
- (251) 220-7051
- Fax
- (888) 568-9230
- NPI assigned
- Aug 28, 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
- Michael Smith, PA-C
- Title
- Ceo
- Phone
- (251) 709-9110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
2864 Dauphin St Ste a
Mobile, AL 36606-2440
Mailing address
2864 Dauphin St Ste a
Mobile, AL 36606-2440
Phone (251) 220-7051
Other practice location 1
2351 Dawes Rd Ste A
Mobile, AL 36695-8073
Phone (251) 220-7051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1336057603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2864 DAUPHIN ST STE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062440",
"telephone_number": "251-220-7051",
"fax_number": "888-568-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2864 DAUPHIN ST STE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "366062440",
"telephone_number": "251-220-7051",
"fax_number": "888-568-9230"
}
],
"practiceLocations": [
{
"address_1": "2351 Dawes Rd Ste A",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366958073",
"country_code": "US",
"telephone_number": "251-220-7051",
"fax_number": "888-568-9230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TELOMERE CONCIERGE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "251-709-9110",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"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 Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.