Providence Medical Group – Internal Medicine Physician, NPI 1386848356

Providence Medical Group is a healthcare provider. based in Mobile, Alabama. specializing in Internal Medicine Physician. The NPI Number for Providence Medical Group is 1386848356

Main info

Organization
Name
Providence Medical Group
NPI
1386848356
Phone
(251) 342-3964
Address
PO BOX 850489
Authorized Official
MR. CLARK P. CHRISTIANSON PRESIDENT
Enumeration Date
13 June 2007
Last Update Date
13 September 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Providence Medical Group

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

    MOBILE, AL 366850489

    Phone: (251) 342-3964

    Fax: (251) 631-3361

    Type: Mailing

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

    SUITE A101

    MOBILE, AL 366086705

    Phone: (251) 633-8880

    Fax: (251) 633-2817

    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 ·

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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 ·

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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 1386848356 — is the standard way to identify this listing.
Is Providence Medical Group still practicing?
Providence Medical Group is currently listed as active in the public NPI registry.
What is Providence Medical Group's primary classification?
Internal Medicine Physician is the headline specialty for Providence Medical Group here. Clinical services aligned with this taxonomy classification.
Where is Providence Medical Group based?
Providence Medical Group is tied to Mobile, Alabama in the data we show; additional addresses may exist on the full record.
Why does Providence Medical Group have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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