Family Medicine
EXTENDED FAMILY MEDICAL CLINIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1720121395 · enumerated 2007-02-14 · record updated 2025-03-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ANGELIA BLACKMON CRNP, MEDICAL DIRECTOR · (251) 438-7170
Addresses and phones
- Practice location 108 N CATHERINE ST, SUITE A, MOBILE, AL, 36604-1304 (251) 438-7170 Fax (251) 438-7173 Google Maps Apple Maps OpenStreetMap
- Mailing address 108 N CATHERINE ST, SUITE A, MOBILE, AL, 36604-1304 (251) 438-7170 Fax (251) 438-7173 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
- Clinic/Center 261Q00000X · License 1-073404 AL
In this directory
Locations and evidence
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Practice location
MOBILE, AL, 366041304
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.