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SPEDALE MD PC
NPI 1184273096
Clinic/Center - Primary Care in Dothan, AL

Active since September 04, 2019CLIA 01D2178117 · Waiver
3113 WESLEY WAY STE 1, DOTHAN, AL 36305(334) 699-5123(334) 699-5125 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2020, Sep 4, 2019 (2 updates tracked since 2019).

About Spedale Md Pc NPPES

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

SPEDALE MD PC (NPI 1184273096) is a healthcare organization registered as a primary care in Dothan, Alabama and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Anthony Roland Spedale, Physician, as its authorized official.

NPPES Registry Identity

NPI1184273096
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSPEDALE MD PC
Location Address3113 WESLEY WAY STE 1Dothan, AL 36305-2004
Mailing Address3113 Wesley Way Ste 1Dothan, AL 36305-2004 · (334) 699-5123 · Fax (334) 699-5125
Phone(334) 699-5123
Fax(334) 699-5125
Organization SubpartNo
Authorized OfficialAnthony Roland SpedalePhysician · (334) 699-5123
Enumeration DateSeptember 4, 2019
Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1184273096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3113 WESLEY WAY STE 1, Dothan, AL 36305
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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 01D2178117

Spedale MD PC · Dothan, AL
Active · expires Jan 26, 2028
CLIA Number01D2178117
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2026
Certificate Expiration DateJanuary 26, 2028
Laboratory DirectorAnthony R. Spedale
Laboratory Phone(334) 699-5123
Laboratory LocationSpedale MD PC3113 Wesley Way Suite 1, Dothan, AL 36305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Spedale MD PC's NPI number?

The NPI number for Spedale MD PC is 1184273096. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Spedale MD PC located?

Spedale MD PC is located at 3113 Wesley Way Ste 1, Dothan, AL 36305. The listed phone number is (334) 699-5123.

What is Spedale MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Spedale MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2178117) is associated with this NPI, valid through January 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spedale MD PC was last updated on November 6, 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.