SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A.
NPI 1093907412
Pediatrics in Dothan, AL

Q: What is Southeastern Pediatric Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since August 10, 2007CLIA 01D0304806 · Certificate of Compliance

364 HONEYSUCKLE RD, DOTHAN, AL 36305(334) 794-8656(337) 702-7047 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeastern Pediatric Associates, P.a. NPPES

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

SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A. (NPI 1093907412) is a healthcare organization registered as a pediatrics in Dothan, Alabama and active in the NPI registry since August 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 5, 2027 and lists S. Lucy Everett, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093907412

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOUTHEASTERN PEDIATRIC ASSOCIATES, P.A.

Location Address364 HONEYSUCKLE RDDothan, AL 36305-1140

Mailing Address364 Honeysuckle RdDothan, AL 36305-1140 · (334) 794-8656 · Fax (337) 702-7047

Phone(334) 794-8656

Fax(337) 702-7047

Organization SubpartNo

Authorized OfficialS. Lucy EverettOffice Manager · (334) 794-8656

Enumeration DateAugust 10, 2007

Last NPPES UpdateJanuary 12, 2011

✔ NPI 1093907412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

364 HONEYSUCKLE RD, Dothan, AL 36305

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Other Identifiers 2

Medicaid272658100FL

Medicaid528300110AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 Compliance 01D0304806

Southeastern Pediatric Associates PA · Dothan, AL

Active · expires Jan 5, 2027

CLIA Number01D0304806

Laboratory TypePhysician Office

Certificate Effective DateJanuary 6, 2025

Certificate Expiration DateJanuary 5, 2027

Laboratory DirectorDr. Ted A. Williams

Laboratory Phone(334) 794-3352

Laboratory LocationSoutheastern Pediatric Associates PA364 Honeysuckle Road, Dothan, AL 36305

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRAIG B ADAMS M.D.

Pediatrics