Mississippi Providence Healthcare Services Inc.
NPI 1821340407 · Family Medicine Physician · Mobile, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mississippi Providence Healthcare Services Inc. is a Family Medicine Physician organization in Mobile, AL (NPI 1821340407).
Provider details
- NPI number
- 1821340407
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2012-10-08
- Last updated
- 2012-10-08
Frequently asked questions
- What is Mississippi Providence Healthcare Services Inc.'s NPI number?
- Mississippi Providence Healthcare Services Inc.'s National Provider Identifier (NPI) is 1821340407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Providence Healthcare Services Inc.?
- Mississippi Providence Healthcare Services Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mississippi Providence Healthcare Services Inc. located?
- Mississippi Providence Healthcare Services Inc.'s practice location on file with NPPES is 6701 Airport Blvd, Mobile, AL 36608-6705.
- What is Mississippi Providence Healthcare Services Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mississippi Providence Healthcare Services Inc. is (251) 342-3949.
- Does Mississippi Providence Healthcare Services Inc. accept Medicare?
- Mississippi Providence Healthcare Services Inc. 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 Mississippi Providence Healthcare Services Inc.?
- The authorized official listed on Mississippi Providence Healthcare Services Inc.'s NPPES record is Clark Christianson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Providence Healthcare Services Inc.'s NPI active?
- Yes — Mississippi Providence Healthcare Services Inc.'s NPI (1821340407) is active in the NPPES registry as of the last update on 2012-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.