Organization Active NPI

Nursing Home Physician Services, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Mobile, AL
National Provider Identifier
1619920741
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
NURSING HOME PHYSICIAN SERVICES, INC.
Practice address
950 Dauphin St
Mobile, AL 36604-2532
Phone
(251) 433-9801
Fax
(251) 433-9807
NPI assigned
May 18, 2006
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Mr. Matthew J Hall
Title
Cfo
Phone
(251) 433-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

950 Dauphin St
Mobile, AL 36604-2532

Mailing address

One Southern Way
Suite a
Mobile, AL 36619-1210
Phone (251) 433-9801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000306 AL Part B Supplier - Clinic/Group Practice 2567539588 Receives reassigned benefits from 4 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

1 Southern Way
Ste A
Mobile, AL 36619

950 Dauphin St
Mobile, AL 36604
Phone (251) 433-9801

950 Dauphin St
Ste A
Mobile, AL 36604

Practitioners & affiliated clinicians

Practitioners 4

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": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1619920741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE SOUTHERN WAY",
            "address_2": "SUITE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-433-9801",
            "fax_number": "251-432-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042532",
            "telephone_number": "251-433-9801",
            "fax_number": "251-433-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING HOME PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "251-433-9801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric 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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.