Providence Medical Group – Family Medicine Physician, NPI 1184742363

Providence Medical Group is a healthcare provider. based in Mobile, Alabama. specializing in Family Medicine Physician. The NPI Number for Providence Medical Group is 1184742363

Main info

Organization
Name
Providence Medical Group
NPI
1184742363
Phone
(251) 342-3949
Address
PO BOX 850489
Authorized Official
MR. CLARK P. CHRISTIANSON PRESIDENT
Enumeration Date
27 March 2007
Last Update Date
27 August 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Providence Medical Group

  • PO BOX 850489

    MOBILE, AL 366850489

    Phone: (251) 342-3949

    Fax: (251) 631-3361

    Type: Mailing

  • 18317 US HWY 90

    ROBERTSDALE, AL 36567

    Phone: (251) 947-2000

    Fax: (251) 947-5399

    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 36685)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Providence Medical Group?
Providence Medical Group — NPI 1184742363 — 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 taxonomy line describes Providence Medical Group?
For research purposes, treat Providence Medical Group as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Providence Medical Group?
Providence Medical Group's geographic hint is Mobile, Alabama in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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