Easternshore Obgyn
NPI 1356416879 · Obstetrics & Gynecology Physician · Fairhope, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Easternshore Obgyn is a Obstetrics & Gynecology Physician organization in Fairhope, AL (NPI 1356416879).
Provider details
- NPI number
- 1356416879
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mitzi Childs, Physician(251) 928-4113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2020-08-22
Frequently asked questions
- What is Easternshore Obgyn's NPI number?
- Easternshore Obgyn's National Provider Identifier (NPI) is 1356416879, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Easternshore Obgyn?
- Easternshore Obgyn is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Easternshore Obgyn located?
- Easternshore Obgyn's practice location on file with NPPES is 8552 Morphy Ave, Fairhope, AL 36532-3696.
- What is Easternshore Obgyn's phone number?
- The practice phone number listed in the NPPES registry for Easternshore Obgyn is (251) 928-4113.
- Does Easternshore Obgyn accept Medicare?
- Easternshore Obgyn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Easternshore Obgyn?
- The authorized official listed on Easternshore Obgyn's NPPES record is Mitzi Childs, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Easternshore Obgyn's NPI active?
- Yes — Easternshore Obgyn's NPI (1356416879) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.