OrganizationActiveAccepts Medicare
South Baldwin Diagnostic Imagine Associates, P.C.
NPI 1124000856 · Specialist · Foley, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1124000856
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mark Connell, Authorized Official(251) 949-3513
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1613 N Mckenzie St
Foley, AL 36535-2247
Phone: (251) 949-1513
Fax: (251) 476-5460
Street-level locationGet directions
Mailing address
Po Box 160550
Altamonte Springs, FL 32716-0550
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2025-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.