Organization Active NPI

Telomere Concierge

  • Adult Medicine Physician
  • Mobile, AL
National Provider Identifier
1336057603
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
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

Updated by the provider on Aug 28, 2026

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.