Providence Medical Group – Gynecologic Oncology Physician, NPI 1164683595

Providence Medical Group is a healthcare provider. based in Daphne, Alabama. specializing in Gynecologic Oncology Physician. The NPI Number for Providence Medical Group is 1164683595

Main info

Organization
Name
Providence Medical Group
NPI
1164683595
Phone
(251) 631-3490
Address
29653 ANCHOR CROSS BLVD
Authorized Official
MR. CLARK P. CHRISTIANSON PRESIDENT
Enumeration Date
18 June 2008
Last Update Date
27 August 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness80
Years active:17State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Providence Medical Group

  • 29653 ANCHOR CROSS BLVD

    DAPHNE, AL 365269594

    Phone: (251) 631-3490

    Fax: (251) 631-3461

    Type: Location

  • Box Road, Millertown, Mobile County, Alabama, 36575, United States

    MOBILE, AL 366850489

    Phone: (251) 342-3949

    Fax: (251) 631-3361

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 36526)

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Frequently asked questions

What is the 10-digit NPI for Providence Medical Group?
Providence Medical Group — NPI 1164683595 — is the standard way to identify this listing.
Is Providence Medical Group listed as active for patients and plans?
The listing shows Providence Medical Group as active in the NPI system.
What is Providence Medical Group best known for clinically?
Directory data describes Providence Medical Group with Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Does Providence Medical Group list a practice location?
Patients near Daphne, Alabama may find Providence Medical Group in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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