Providence Medical Group - Gulf Shores – General Practice Physician, NPI 1093174286

Providence Medical Group - Gulf Shores is a healthcare provider. based in Mobile, Alabama. specializing in General Practice Physician. The NPI Number for Providence Medical Group - Gulf Shores is 1093174286

Main info

Organization
Name
Providence Medical Group - Gulf Shores
NPI
1093174286
Phone
(251) 342-3949
Address
6701 AIRPORT BLVD
Authorized Official
TODD KENNEDY PRESIDENT
Enumeration Date
16 February 2016
Last Update Date
16 February 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness80
Years active:10State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Providence Medical Group - Gulf Shores

  • 6701, Airport Boulevard, Huntleigh Woods, Mobile, Mobile County, Alabama, 36608, United States

    SUITE 143

    MOBILE, AL 366086705

    Phone: (251) 342-3949

    Fax: (251) 631-3361

    Type: Mailing

  • Sacred Heart Medical Center, 1700, West 2nd Street, Gulf Shores, Baldwin County, Alabama, 36542, United States

    GULF SHORES, AL 365423422

    Phone: (251) 342-3949

    Fax: (251) 631-3361

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36608)

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Reviews

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Frequently asked questions

How is Providence Medical Group - Gulf Shores identified in CMS data?
CMS-hosted NPPES data lists Providence Medical Group - Gulf Shores with NPI 1093174286.
Can I rely on Providence Medical Group - Gulf Shores being an active provider?
As of the registry snapshot, Providence Medical Group - Gulf Shores is marked active.
What is Providence Medical Group - Gulf Shores's primary classification?
General Practice Physician is the headline specialty for Providence Medical Group - Gulf Shores here. Clinical services aligned with this taxonomy classification.
What area does Providence Medical Group - Gulf Shores serve?
Providence Medical Group - Gulf Shores's listing highlights Mobile, Alabama; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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