Organization Active NPI

Imc-North Baldwin Internal Medicine LLC

  • Internal Medicine Physician
  • Bay Minette, AL
National Provider Identifier
1841581824
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IMC-NORTH BALDWIN INTERNAL MEDICINE LLC
Practice address
2004 Medical Center Dr
Suite 2
Bay Minette, AL 36507-4163
Phone
(251) 937-7910
Fax
(251) 937-1846
NPI assigned
Apr 26, 2011
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2004 Medical Center Dr
Suite 2
Bay Minette, AL 36507-4163

Mailing address

2004 Medical Center Dr Ste 2
Bay Minette, AL 36507-4163
Phone (251) 937-7910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110624000168 AL Part B Supplier - Clinic/Group Practice 0648458570 Receives reassigned benefits from 1 practitioner
Practice locations: Bay Minette, AL

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
01D2029472Imc North Baldwin Internal Medicine PC2004 Medical Center Dr Suite #2, Bay Minette, AL 36507Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

2004 Medical Center Dr
#2
Bay Minette, AL 36507
Phone (251) 937-7910

2004 Medical Center Dr
Ste 2
Bay Minette, AL 36507
Phone (251) 937-7910

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1841581824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 MEDICAL CENTER DR STE 2",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-7910",
            "fax_number": "251-937-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MEDICAL CENTER DR",
            "address_2": "SUITE 2",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074163",
            "telephone_number": "251-937-7910",
            "fax_number": "251-937-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMC-NORTH BALDWIN INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, 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.
  • 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.