Active NPI 1528486289 Individual Practitioner Male Practitioner

Thomas Stallworth , ARNP

Nurse Practitioner - Pediatrics • Mobile, AL

Professional Overview & Biography Verified Profile Summary

Thomas Stallworth, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Mobile, AL. Practice services are available at 3980G AIRPORT BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3980g Airport Blvd

Mobile, AL 366082224

Telephone 2513182603

Fax 2513182604

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Mobile, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 2.5 Yrs

State Avg: 13.2 Yrs

Regional Practice Density

43 Specialists

Practicing in Mobile, AL (380 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-19

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AL 1-114845

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License MS 902668

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License FL 9331690

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Melanie Parker , CRNP

Nurse Practitioner - Pediatrics

NPI 1063103596

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location October 19, 2021

Registered at 3980G AIRPORT BLVD, MOBILE, AL 366082224 (Tel: 2513182603)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2021

Nurse Practitioner (License #902668 in MS)

📍

Updated Practice Location July 12, 2018

Registered at 4105 HOSPITAL ST STE 104, PASCAGOULA, MS 39581 (Tel: 2287629595)

📍

Updated Business Mailing Address July 12, 2018

Registered at 4105 HOSPITAL ST STE 104, PASCAGOULA, MS 395815312 (Tel: 2287629595)

✅

NPI Profile Active March 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2014

Registered at 301 FISHER ST, PEDIATRIC CLINIC, KEESLER AFB, MS 395342508 (Tel: 2283763437)

📍

Updated Business Mailing Address March 31, 2014

Registered at 301 FISHER ST, PEDIATRIC CLINIC, KEESLER AFB, MS 395342508 (Tel: 2283763437)

👤

Provider Name / Credentials Updated March 31, 2014

Recorded as THOMAS STALLWORTH, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2014

Nurse Practitioner (License #9331690 in FL)

🟢

Initial NPI Registration & Enumeration March 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528486289

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 31, 2014

Last Update: October 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4105 Hospital St Ste 104

Pascagoula, MS 395815312

Phone: 2287629595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.