NPIMap

Organization Active NPI

ADHD Medical Clinic of Mobile, P.C.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1629411731
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22050 Issued in AL
Legal business name
ADHD MEDICAL CLINIC OF MOBILE, P.C.
Practice address
2651 Old Shell Rd
Mobile, AL 36607-2929
Phone
(251) 243-7058
NPI assigned
Apr 9, 2013
Last updated
May 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Charlotte Wall
Title
Practice Manager
Phone
(251) 243-7058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22050 AL Primary

Addresses

Primary practice location

2651 Old Shell Rd
Mobile, AL 36607-2929

Mailing address

2651 Old Shell Rd
Mobile, AL 36607-2929
Phone (251) 243-7058

National Provider Directory

National Provider Directory

Locations

2651 Old Shell Rd
Mobile, AL 36607
Phone (251) 243-7058

Practitioners & affiliated clinicians

Practitioners 3

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": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1629411731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072929",
            "telephone_number": "251-243-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072929",
            "telephone_number": "251-243-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADHD MEDICAL CLINIC OF MOBILE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "251-243-7058"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "22050",
            "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 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.