Organization Active NPI

Mobile Adult Care LLC

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1588764658
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOBILE ADULT CARE LLC
Practice address
100 Memorial Hospital Dr
Suite 3a
Mobile, AL 36608
Phone
(251) 342-2641
Fax
(251) 343-9507
NPI assigned
Sep 25, 2006
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Harry Earl Studdard II, MDNPI 1144217837
Title
Owner
Phone
(251) 342-2641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

100 Memorial Hospital Dr
Suite 3a
Mobile, AL 36608

Mailing address

100 Memorial Hospital Dr
Ste 3a
Mobile, AL 36608-1183
Phone (251) 342-2641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000172 AL Part B Supplier - Clinic/Group Practice 4880611326 Receives reassigned benefits from 8 practitioners
Practice locations: Mobile, 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
01D0928124Mobile Adult Care LLC100 Memorial Hospital Drive Suite 3a, Mobile, AL 36608Certificate of waiverDec 27, 2026

National Provider Directory

National Provider Directory

Locations

100 Memorial Hospital Dr
Ste 3A
Mobile, AL 36608
Phone (251) 342-2641

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1588764658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR",
            "address_2": "STE 3A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081183",
            "telephone_number": "251-342-2641",
            "fax_number": "251-343-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEMORIAL HOSPITAL DR",
            "address_2": "SUITE 3A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-342-2641",
            "fax_number": "251-343-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "STUDDARD",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-342-2641",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 20, 2013; 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.