NPIMap

Organization Active NPI

University of South Alabama Health Care Authority

Doing business as USA Health Pain Management

  • Pain Medicine Physician
  • Mobile, AL
National Provider Identifier
1851859938
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
Doing business as
USA Health Pain Management
Practice address
3290 Dauphin St Ste 204
Mobile, AL 36606-4014
Phone
(251) 660-5900
Fax
(251) 660-5901
NPI assigned
Mar 7, 2019
Last updated
Apr 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Authorized official

Name
Erica Madison
Title
Credentialing
Phone
(251) 318-2681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3290 Dauphin St Ste 204
Mobile, AL 36606-4014

Mailing address

3929-1 Airport Blvd
5TH Floor, Room 513
Mobile, AL 36609
Phone (251) 318-2681

Other names 1

  • USA Health Pain Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of South Alab18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

3290 Dauphin St
Ste 204
Mobile, AL 36606
Phone (251) 471-3671

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1851859938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929-1 AIRPORT BLVD",
            "address_2": "5TH FLOOR, ROOM 513",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36609",
            "telephone_number": "251-318-2681",
            "fax_number": "251-378-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST STE 204",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064014",
            "telephone_number": "251-660-5900",
            "fax_number": "251-660-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "251-318-2681"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Health Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 7, 2021; 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.