Individual provider Active NPI

Nicole Rae Zediker Phillips, NP

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1902692858
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-177663 Issued in AL
Practice address
2350 Schillinger Rd S
Mobile, AL 36695-4177
Phone
(251) 633-0123
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-177663 AL Primary

Addresses

Primary practice location

2350 Schillinger Rd S
Mobile, AL 36695-4177

Mailing address

6513 Lighthouse CT
Mobile, AL 36695-3267
Phone (251) 232-9839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003000705 AL Practitioner - Nurse Practitioner 7517463938 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians

Practice addresses (Care Compare)

2350 Schillinger Rd S
Suite a
Mobile, AL 36695-4177
Phone (251) 633-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Citronelle LLC Family Medicine CurrentSince Jul 20, 2025 Accepting new patients
Gmuc of Springhill LLC Family Medicine CurrentSince Jul 20, 2025 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Jul 20, 2025 Accepting new patients
Greater Mobile Urgent Care Family Medicine CurrentSince Jul 20, 2025 Accepting new patients
Gmuc of Saraland Family Medicine CurrentSince Jul 20, 2025 Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1902692858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 LIGHTHOUSE CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366953267",
            "telephone_number": "251-232-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SCHILLINGER RD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954177",
            "telephone_number": "251-633-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NICOLE",
        "middle_name": "RAE ZEDIKER",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-177663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.