NPIMap

Organization Active NPI

Mobile Pediatric Clinic LLC

  • Specialist
  • Mobile, AL
National Provider Identifier
1902352180
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MOBILE PEDIATRIC CLINIC LLC
Practice address
6321 Piccadilly Square Dr Ste a
Mobile, AL 36609-5305
Phone
(251) 342-8900
NPI assigned
Aug 29, 2016
Last updated
Aug 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Authorized official

Name
Amy Collins
Title
Owner
Phone
(251) 610-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6321 Piccadilly Square Dr Ste a
Mobile, AL 36609-5305

Mailing address

PO Box 91899
Mobile, AL 36691-1899
Phone (251) 342-8900

National Provider Directory

National Provider Directory
Tax ID family
Mobile Pediatric Clinic LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1902352180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91899",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366911899",
            "telephone_number": "251-342-8900",
            "fax_number": "251-342-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 PICCADILLY SQUARE DR STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095305",
            "telephone_number": "251-342-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PEDIATRIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-610-1810"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2016; 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.