Active NPI
Imc-Gulf Coast Gastroenterology LLC
- Gastroenterology Physician
- Fairhope, AL
National Provider Identifier
1699130716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- IMC-GULF COAST GASTROENTEROLOGY LLC
- Practice address
- 188 Hospital Dr
Suite 405
Fairhope, AL 36532-2018 - Phone
- (251) 990-0360
- Fax
- (251) 990-0366
- NPI assigned
- Dec 16, 2015
- Last updated
- Jul 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip L Cowart
- Title
- VP Finance
- Phone
- (251) 435-1361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
188 Hospital Dr
Suite 405
Fairhope, AL 36532-2018
Mailing address
188 Hospital Dr Ste 405
Fairhope, AL 36532-2018
Phone (251) 990-0360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
188 Hospital Dr
Ste 405
Fairhope, AL 36532
Phone (251) 279-4600
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Gastroenterology Physician
- Mobile, AL
- NPI 1255362661
-
- Medical Physician Assistant
- Fairhope, AL
- NPI 1558457499
-
- Gastroenterology Physician
- Fairhope, AL
- NPI 1184732976
-
- Medical Physician Assistant
- Fairhope, AL
- NPI 1245632975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"number": "1699130716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 HOSPITAL DR STE 405",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322018",
"telephone_number": "251-990-0360",
"fax_number": "251-990-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 HOSPITAL DR",
"address_2": "SUITE 405",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322018",
"telephone_number": "251-990-0360",
"fax_number": "251-990-0366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMC-GULF COAST GASTROENTEROLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-16",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "COWART",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "251-435-1361"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.