DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES
NPI 1013018407
Specialist in Dothan, AL
About Dothan Hypertension Nephrology Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES (NPI 1013018407) is a healthcare organization registered as a specialist in Dothan, Alabama and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Ganjur Prakash, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dothan Hypertension Nephrology Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Dothan Hypertension Nephrology Associates, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D0304709
Dothan Hypertension Nephrology Assoc · Dothan, ALFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dothan Hypertension Nephrology Associates's NPI number?
The NPI number for Dothan Hypertension Nephrology Associates is 1013018407. It was assigned to this organization in the NPPES registry on September 26, 2006.
Where is Dothan Hypertension Nephrology Associates located?
Dothan Hypertension Nephrology Associates is located at 207 Haven Dr, Dothan, AL 36301. The listed phone number is (334) 793-3319.
What is Dothan Hypertension Nephrology Associates's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dothan Hypertension Nephrology Associates enrolled in Medicare?
Yes. Dothan Hypertension Nephrology Associates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dothan Hypertension Nephrology Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Dothan Hypertension Nephrology Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7), Nephrology (4) and Internal Medicine (2). Of these, 12 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dothan Hypertension Nephrology Associates hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D0304709) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dothan Hypertension Nephrology Associates accept?
Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Dothan Hypertension Nephrology Associates as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dothan Hypertension Nephrology Associates was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dothan Hypertension Nephrology Associates · NPI 1013018407
Specialist organization in Dothan, Alabama. Organization record, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1013018407 (Entity type: Organization)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Ganjur Prakash, OWNER
## Practice location
- **Address:** 207 HAVEN DR, Dothan, AL 36301-2919
- **Phone:** (334) 793-3319 · **Fax:** (334) 793-2291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Nephrology (4), Internal Medicine (2); 12 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2011
- **Other identifiers:** Medicare UPIN H91252 (AL); Medicare UPIN C76943 (AL); Medicare UPIN P82902 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013018407) · Data from the CMS NPPES public registry.