Active NPI
Mobile Reproductive Endocrinology and Infertility
- Gynecology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 12943
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shannon M Gilmore, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D978 | Other | AL | MEDICARE PROVIDER # |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0879653 | Mobile Reproductive Endocrinology | Certificate of waiver | Jan 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gynecology Physician
- Mobile, AL
- NPI 1689673006
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
- Mobile Pharmacy Services LLC
- Mobile Physical Medicine & Wellness
- Mobile Pleasant Valley Dental P.C.
- Mobile Premier Pediatric Dentistry, LLC
- Mobile Psychological, LLC
- Mobile SNF Opco LLC (Mobile Rehabilitation and Wellness Center)
- Mobile Spine & Rehabilitation Limited Partnership
- Mobile Spine and Rehabilitation Limited Partnership
- Mobile Surgery Clinics
- Mobile Surgical Center PA
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.