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

Tara Childers, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1891417325

Tara Childers, AGNP-C is a Nurse Practitioner in Mobile, Alabama. Qualified in 2024, 2 years ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

5 Mobile Infirmary Cir # G805
Mobile, AL 36607-3513
Phone: (251) 435-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AG09240028 (AL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AG09240028 (AL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AG09240028 (AL)

Record details

NPI number1891417325
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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