PROVIDENCE MEDICAL GROUP – Internal Medicine Physician, NPI 1508878083

PROVIDENCE MEDICAL GROUP is a healthcare provider. based in Mobile, Alabama. specializing in Internal Medicine Physician. The NPI Number for PROVIDENCE MEDICAL GROUP is 1508878083

Main info

Organization
Name
PROVIDENCE MEDICAL GROUP
NPI
1508878083
Phone
(251) 342-3949
Address
PO BOX 850489
Authorized Official
MR. CLARK P. CHRISTIANSON PRESIDENT
Enumeration Date
12 August 2006
Last Update Date
8 October 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State 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) 342-3949

    Fax: (251) 631-3361

    Type: Mailing

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

    SUITE D430

    MOBILE, AL 366086705

    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 36685)

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Reviews

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Frequently asked questions

Is there an official ID for PROVIDENCE MEDICAL GROUP in U.S. healthcare records?
The official identifier for PROVIDENCE MEDICAL GROUP is NPI 1508878083.
Would PROVIDENCE MEDICAL GROUP appear as active to a payer?
You can treat PROVIDENCE MEDICAL GROUP as active for directory purposes; confirm clinical privileges separately.
How would a patient describe PROVIDENCE MEDICAL GROUP's focus?
For PROVIDENCE MEDICAL GROUP, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is PROVIDENCE MEDICAL GROUP associated with Mobile?
Public fields place PROVIDENCE MEDICAL GROUP around Mobile, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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