Organization Active NPI

North Baldwin Pediatrics LLC

  • Pediatrics Physician
  • Bay Minette, AL
National Provider Identifier
1396805461
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTH BALDWIN PEDIATRICS LLC
Practice address
2002 McMillan Ave
Bay Minette, AL 36507-4134
Phone
(251) 580-8475
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Phillip L Cowart
Title
VP Finance
Phone
(251) 435-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2002 McMillan Ave
Bay Minette, AL 36507-4134

Mailing address

2002 McMillan Ave
Bay Minette, AL 36507-4134

Other practice location 1

14975 US-98
Magnolia Springs, AL 36555
Phone (251) 965-3320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100522000104 AL Part B Supplier - Clinic/Group Practice 1456480813 Receives reassigned benefits from 4 practitioners
Practice locations: Bay Minette, AL; Magnolia Springs, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1056316North Baldwin Pediatrics PC2002 McMillan Ave, Bay Minette, AL 36507Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1396805461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MCMILLAN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MCMILLAN AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074134",
            "telephone_number": "251-580-8475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14975 US-98",
            "address_purpose": "LOCATION",
            "city": "Magnolia Springs",
            "state": "AL",
            "postal_code": "36555",
            "country_code": "US",
            "telephone_number": "251-965-3320",
            "fax_number": "251-965-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH BALDWIN PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "COWART",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "251-435-1361"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.