SOUTHEAST PSYCHIATRIC SERVICES
NPI 1033495221
Psychiatry & Neurology - Psychiatry in Dothan, AL

Active since November 01, 2011
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305(334) 712-1170(334) 460-8391 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2020, Jul 11, 2018 (2 updates tracked since 2018).

About Southeast Psychiatric Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST PSYCHIATRIC SERVICES (NPI 1033495221) is a healthcare organization registered as a psychiatry in Dothan, Alabama and active in the NPI registry since November 2011. The organization lists Nancy A Gilley, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033495221
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NamePROFESSIONAL RESOURCE MANAGEMENT OF WIREGRASS, LLC
Location Address2812 HARTFORD HWY STE 1Dothan, AL 36305-4927
Mailing Address2812 Hartford Hwy Ste 1Dothan, AL 36305-4927 · (334) 712-1170 · Fax (334) 460-8391
Fax(334) 460-8391
Organization SubpartNo
Authorized OfficialNancy A GilleyAuthorized Official · (334) 712-1170
Enumeration DateNovember 1, 2011
Last NPPES UpdateDecember 22, 20202 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
✔ NPI 1033495221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2812 HARTFORD HWY STE 1, Dothan, AL 36305

Other Names 1

Doing Business AsSoutheast Psychiatric Services

Other Identifiers 1

Medicaid134225AL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Southeast Psychiatric Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Southeast Psychiatric Services, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner5
Family Practice3
Psychiatry3
Neurology2
Internal Medicine1
Physician Assistant1

Clinicians, nearest first (15)

Psychiatry
NPI 1326056219
2812 HARTFORD HWY STE 1
Dothan, AL 36305
(334) 712-1170
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1407872948
2812 HARTFORD HWY STE 1
Dothan, AL 36305
(334) 712-1170
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1366470122
2812 HARTFORD HWY STE 1
Dothan, AL 36305
(334) 712-1170
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1104518596
2812 HARTFORD HWY STE 1
Dothan, AL 36305
(334) 712-1170
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1588322994
2812 HARTFORD HWY
Dothan, AL 36305
(334) 712-1170
✔ PECOS0.4 mi
Neurology
NPI 1265239008
2812 HARTFORD HWY # 1
Dothan, AL 36305
(334) 712-1170
✔ PECOS✔ Accepts Medicare0.4 mi
Physician Assistant
NPI 1902801517
4300 W MAIN ST STE 405
Dothan, AL 36305
(334) 944-7073
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1568224525
104 MEDICAL DR
Dothan, AL 36303
(334) 288-7808
✔ PECOS✔ Accepts Medicare3.2 mi
Nurse Practitioner
NPI 1750115010
3813 ROSS CLARK CIR STE 300
Dothan, AL 36303
(334) 479-0505
✔ PECOS✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1740933183
103 CHASE RIDGE DR
Rehobeth, AL 36301
(386) 965-6679
✔ PECOS✔ Accepts Medicare6.8 mi
Family Practice
NPI 1598732521
1970 ANDREWS AVE
Ozark, AL 36360
(334) 774-1555
✔ PECOS✔ Accepts Medicare21 mi
Neurology
NPI 1932249885
2101 NORTH AVE
Columbus, GA 31904
(706) 221-8799
✔ PECOS✔ Accepts Medicare93 mi
Family Practice
NPI 1831333830
1107 N EASTERN BLVD
Montgomery, AL 36117
(334) 647-1444
✔ PECOS✔ Accepts Medicare95 mi
Internal Medicine
NPI 1902354277
6801 AIRPORT BLVD
Mobile, AL 36608
(251) 266-3580
✔ PECOS✔ Accepts Medicare168 mi
Psychiatry
NPI 1376893974
7208 W SAND LAKE RD STE 305
Orlando, FL 32819
(407) 799-8808
✔ PECOS✔ Accepts Medicare304 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Professional Resource Management Of Wiregrass, LLC's NPI number?

The NPI number for Professional Resource Management Of Wiregrass, LLC is 1033495221. It was assigned to this organization in the NPPES registry on November 1, 2011. The provider is doing business as Southeast Psychiatric Services.

Where is Professional Resource Management Of Wiregrass, LLC located?

Professional Resource Management Of Wiregrass, LLC is located at 2812 Hartford Hwy Ste 1, Dothan, AL 36305. The listed phone number is (334) 712-1170.

What is Professional Resource Management Of Wiregrass, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Professional Resource Management Of Wiregrass, LLC enrolled in Medicare?

Yes. Professional Resource Management Of Wiregrass, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Professional Resource Management Of Wiregrass, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Professional Resource Management Of Wiregrass, LLC. 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 (5), Family Practice (3) and Psychiatry (3). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Professional Resource Management Of Wiregrass, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Professional Resource Management Of Wiregrass, LLC 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 Professional Resource Management Of Wiregrass, LLC was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.