Providence Medical Group – Family Medicine Physician, NPI 1700215894

Providence Medical Group is a healthcare provider. based in Mobile, Alabama. specializing in Family Medicine Physician. The NPI Number for Providence Medical Group is 1700215894

Main info

Organization
Name
Providence Medical Group
NPI
1700215894
Phone
(251) 342-3949
Address
PO BOX 850489
Authorized Official
MR. TODD S. KENNEDY PRESIDENT
Enumeration Date
8 November 2013
Last Update Date
28 September 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness80
Years active:12State 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

  • 19140 S 3RD ST

    CITRONELLE, AL 365222306

    Phone: (251) 866-0086

    Fax: (251) 866-0089

    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 Providence Medical Group's NPI number?
Providence Medical Group's NPI is 1700215894 — the number used across U.S. healthcare to identify this provider.
Is Providence Medical Group shown as active in public data?
Registry records indicate Providence Medical Group maintains an active NPI.
What kind of doctor is Providence Medical Group?
Providence Medical Group is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Providence Medical Group located near Mobile?
Providence Medical Group currently maps to Mobile, Alabama in this extract.
Can I trust this NPI listing for Providence Medical Group?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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