Individual provider Active NPI

Latonya Wilder, M.D.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1477712990
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29996 Issued in AL
Practice address
2451 Fillingim St
Mobile, AL 36617-2238
Phone
(251) 471-7117
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29996 AL Primary

Addresses

Primary practice location

2451 Fillingim St
Mobile, AL 36617-2238

Mailing address

1905 Pallister PL W
Mobile, AL 36618-2220
Phone (251) 591-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000326 AL Practitioner - Internal Medicine 5496932360 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone (251) 435-7289

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29996ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Baptist Health Centers, LLC CurrentSince Aug 26, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 26, 2019 Accepting new patients
USA Health Community Providers LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
USA Health HCA Providence Hospital LLC Past Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

75 S University Blvd
Ste 6000A
Mobile, AL 36608
Phone (251) 660-5787

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • Direct secure messaging: lwilder@direct.mhg.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1477712990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 PALLISTER PL W",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366182220",
            "telephone_number": "251-591-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "LATONYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "29996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.