Organization Active NPI

Mobile Reproductive Endocrinology and Infertility

  • Gynecology Physician
  • Mobile, AL
National Provider Identifier
1730389867
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
12943 Issued in AL
Legal business name
MOBILE REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY
Practice address
6332 Piccadilly Square Dr
Mobile, AL 36609-5143
Phone
(251) 461-9914
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Dr. Shannon M Gilmore, MDNPI 1689673006
Title
President
Phone
(251) 461-9914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 12943 AL Primary

Addresses

Primary practice location

6332 Piccadilly Square Dr
Mobile, AL 36609-5143

Mailing address

6332 Piccadilly Square Dr
Mobile, AL 36609-5143
Phone (251) 461-9914

Other identifiers 1

IdentifierTypeStateIssuer
D978OtherALMEDICARE PROVIDER #

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
01D0879653Mobile Reproductive Endocrinology6332 Piccadilly Square Drive, Mobile, AL 36609Certificate of waiverJan 11, 2027

National Provider Directory

National Provider Directory

Locations

6332 Piccadilly Square Dr
Mobile, AL 36609
Phone (251) 461-9914

Practitioners & affiliated clinicians

Practitioners 1

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1730389867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-461-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6332 PICCADILLY SQUARE DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095143",
            "telephone_number": "251-461-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-461-9914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "12943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "D978",
            "state": "AL"
        }
    ],
    "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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.