NPIMap

Organization Active NPI

USA Health HCA Providence Hospital LLC

Doing business as USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
National Provider Identifier
1992489223
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
USA HEALTH HCA PROVIDENCE HOSPITAL LLC
Doing business as
USA Health Providence Hospital
Practice address
6801 Airport Blvd
Mobile, AL 36608-3709
Phone
(251) 633-1000
NPI assigned
Jun 15, 2023
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Kristen Roberts
Title
VP of Finance
Phone
(251) 460-1475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

6801 Airport Blvd
Mobile, AL 36608-3709

Mailing address

PO Box 931131
Atlanta, GA 31193-1131
Phone (251) 460-6101

Other names 1

  • USA Health Providence Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210219000678 AL Part B Supplier - Clinic/Group Practice 7810204831 Receives reassigned benefits from 142 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Enterprise, AL; Vestavia Hills, AL; Trussville, AL; Talladega, AL; Selma, AL; Prattville, AL; Opelika, AL; Mountain BRK, AL…
O20231013003079 AL Part A Provider - Hospital 7810342607 Practice locations: Mobile, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992489223. Details of each certification follow.

Hospital certification: CCN 010090

Legal name
USA HEALTH HCA PROVIDENCE HOSPITAL LLC
Doing business as
USA HEALTH PROVIDENCE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 29, 2000
Beds
349
Ownership / control type
Church
Most recent change of ownership
Oct 1, 2023 (1 total)
Organization structure
LLCProprietary
Incorporated
May 11, 2023 in AL
Enrollment address
6801 Airport Blvd
Mobile, AL 36608-3709
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

Care Compare: Hospital

Medicare Care Compare
Listed as
USA Health HCA Providence Hospital, LLCCCN 010090 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
USA Health HCA Providence Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

307 N University Blvd
Mobile, AL 36608
Phone (251) 341-3030

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Natalie S Fox Individual Corporate DirectorCeo May 1, 2025 50%
W-2 Managing EmployeeAd; May 1, 2025 50%
Andrea Kent Individual Corporate DirectorSecretary Oct 1, 2023
Mona Spenser Individual Corporate DirectorBoard Member Oct 3, 2023
Charles Smith Individual Corporate DirectorBoard Member Oct 1, 2023
University of South Alabama Organization, Mobile, AL Corporation 5% Or Greater Indirect Ownership Interest Oct 1, 2023 100%
Polly Stokley Individual Corporate DirectorTreasurer Oct 1, 2023
University of South Alabama Health Care Authority Organization, Mobile, AL Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2023 100%
Chris Vinet Individual Corporate DirectorBoard Member Oct 1, 2023
Vincent Walker Individual Corporate DirectorBoard Member Oct 1, 2023
Jinni Frisbey Individual Corporate DirectorBoard Member Oct 1, 2023
William Starling Individual Corporate DirectorBoard Member Oct 1, 2023
Arlene Mitchell Individual Corporate DirectorEx Officio Oct 1, 2023
Kristen Roberts Individual Corporate DirectorCfo Mar 10, 2025 50%
W-2 Managing EmployeeAd; Mar 10, 2025 50%
John V Marymont Individual Corporate DirectorVice President Oct 1, 2023
Josiah Robins Bonner Individual Corporate DirectorPresident Oct 1, 2023

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

Affiliated clinicians 545

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 545

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1992489223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931131",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931131",
            "telephone_number": "251-460-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083709",
            "telephone_number": "251-633-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTH HCA PROVIDENCE HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "251-460-1475"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USA Health Providence Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.