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

Individual provider Medical Physician Assistant · NPI 1093048332

Jimmie Council Blan, PA is a Physician Assistant in Mobile, Alabama. Qualified in 2009, 17 years ago. Practices with Mobile Adult Care LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
17
Licensed in
AL
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 Memorial Hospital Dr Ste 3A
Mobile, AL 36608-1183
Phone: (251) 342-2641
Fax: (251) 343-9507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA1692 (AL)

Record details

NPI number1093048332
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 17, 2009
Last updated in NPPESJuly 27, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mobile Adult Care Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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