Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alabama Providence Healthcare Services

Organization Family Medicine Physician · NPI 1629407721

Alabama Providence Healthcare Services is a Family Medicine Physician in Mobile, Alabama. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
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Practice location Address checks out

5100 Rangeline Rd N
Mobile, AL 36619-9504
Phone: (251) 661-4454
Fax: (251) 631-9843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1629407721
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAlabama Providence Healthcare Services
Authorized official Todd Kennedy — President · (251) 633-1660
Other names Providence Medical Group
NPI enumeratedNovember 8, 2013
Last updated in NPPESSeptember 28, 2015
Mailing addressPo Box 850489, Mobile, AL 36685-0489

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