OrganizationActive
Providence Healthcare Services
NPI 1124222427 · Family Medicine Physician · Mobile, AL
Provider details
- NPI number
- 1124222427
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clark Christianson, President(251) 633-1660
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5100 Rangeline Road North
Mobile, AL 36619-9504
Phone: (251) 661-4454
Fax: (251) 661-9843
Street-level locationGet directions
Mailing address
Po Box 850489
Mobile, AL 36685-0489
Other names (DBA / former)
- Doing business as
- Providence Medical Group
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2012-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.