University of South Alabama
Organization Active NPI Clinical Medical Laboratory · Mobile, AL
NPI 1497859052 · NPPES record last updated Mar 9, 2026
Key facts
- NPI
- 1497859052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- UNIVERSITY OF SOUTH ALABAMA
- Practice address
- 2451 University Hospital Dr
Mobile, AL 36617-2300 - Phone
- (251) 471-7000
- NPI assigned
- Sep 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF SOUTH ALABAMA
Authorized official
- Name
- Kristen Roberts
- Title
- VP of Finance
- Phone
- (251) 460-1475
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 4
Practitioners 491
-
Daniel G Cameron, M.D.
-
Emad Al Jaber, M.D.
-
Hanna Alemayehu, M.D.
-
Jerry Gray Arnold Jr., M.D.
-
Ghulam Awan, MD
-
Susan Baker, MD
-
Wilma Diane Baliem, CRNP
-
Haley Hallman Ballard, M.D.
-
Mary Barros, CRNP
-
Bassam A. Bassam, MD
-
Jeffery Warren Bauman, CRNA
-
Thaddeus Beeker, MD
-
Sabrina G. Bessette, M.D.
-
Sanjyot Bhadkamkar, CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0305992 | Univ of South Alabama University Hospital | Accreditation | Feb 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| USA Health Providence Hospital |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Oct 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000773 | AL | Part B Supplier - Clinic/Group Practice | 3072425149 |
Receives reassigned benefits from 418 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mobile, AL; Monroeville, AL; Fairhope, AL; Jackson, AL |
| O20251126000440 | AL | Part B Supplier - Independent Clinical Laboratory | 3072425149 | Practice locations: Mobile, AL |
National Provider Directory
- Part of
- University of South Alabama Mitchell Cancer Institute
Locations
14634 Saint Stephens Ave
Ste B
Chatom, AL 36518
Phone (251) 847-3077
188 Hospital Dr
Ste 204
Fairhope, AL 36532
1707 SPG HL Ave
Ste 201
Mobile, AL 36604
Phone (251) 415-8577
1601 Center St
Ste 25
Mobile, AL 36604
Phone (251) 665-8290
307 N University Blvd
Ste 1200
Mobile, AL 36688
Phone (251) 460-7681
2451 University Hospital Dr
Fl 1
Mobile, AL 36617
Phone (251) 471-7790
1504 Spring Hill Ave
Ste 1365
Mobile, AL 36604
Phone (251) 405-9914
307 N University Blvd
Ste 1100
Mobile, AL 36608
Phone (251) 405-9914
1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189
3401 Medical Park Dr
Ste 1-100
Mobile, AL 36693
Phone (251) 660-5793
51 Stadium Dr 218
Mobile, AL 36688
Phone (251) 461-1969
1720 Center St
Ste 101
Mobile, AL 36604
Phone (251) 410-7621
2000 University Cmn
Mobile, AL 36688
Phone (251) 380-2600
3421 Medical Park Dr
Ste 101
Mobile, AL 36693
Phone (251) 665-8201
3715 Dauphin St
Ste 4A
Mobile, AL 36608
Phone (251) 414-5900
1601 Center St
Ste 1D
Mobile, AL 36604
Phone (251) 410-5437
1601 Center St
Ste 3D
Mobile, AL 36604
1707 Center St
Ste 102
Mobile, AL 36604
75 S University Blvd
#6000B
Mobile, AL 36608
Phone (251) 660-5555
75 S University Blvd
Ste 6000B
Mobile, AL 36608
Phone (251) 660-5555
1601 Center St
Ste 1N
Mobile, AL 36604
Phone (251) 410-5437
1504 Spring Hill Ave
Ste 1600
Mobile, AL 36604
Phone (251) 434-3715
4300 Old Shell Rd
Mobile, AL 36608
Phone (251) 342-7880
2451 University Hospital Dr
Ste 102
Mobile, AL 36617
Phone (251) 470-5890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Medical Oncology Physician |
207RX0202X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | |||
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
2451 University Hospital Dr
Mobile, AL 36617-2300
Mailing address
PO Box 746110
Atlanta, GA 30374-6110
Phone (251) 434-3505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014877 | Medicaid | MS | |
| 09014887 | Medicaid | MS | |
| 09015184 | Medicaid | MS | |
| 529912620 | Medicaid | AL | |
| 09016178 | Medicaid | MS |
Other names
- USA Hospitals
Other providers in Mobile, AL
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
- University of South Alabama
All providers in Mobile, AL · Clinical Medical Laboratory in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.