Healthcare Provider Details
I. General information
NPI: 1386912434
Provider Name (Legal Business Name): JILLIAN KAYE MCCABE MD, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/05/2011
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 MOBILE INFIRMARY CIR STE 305
MOBILE AL
36607-3515
US
IV. Provider business mailing address
3 MOBILE INFIRMARY CIR STE 305
MOBILE AL
36607-3515
US
V. Phone/Fax
- Phone: 251-433-5557
- Fax: 251-433-5558
- Phone: 251-433-5557
- Fax: 251-433-5558
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | A185140 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086X0206X |
| Taxonomy | Surgical Oncology Physician |
| License Number | 52131 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: