Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOTHAN BEHAVIORAL MEDICINE CLINIC PC
NPI 1336277540
Psychiatry & Neurology - Child & Adolescent Psychiatry in Dothan, AL

Active since March 01, 2007CLIA 01D1025710 · Waiver
408 HEALTHWEST DR, DOTHAN, AL 36303(334) 702-7222(334) 702-1944 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2026, Mar 4, 2026, Jul 29, 2020 (3 updates tracked since 2020).

About Dothan Behavioral Medicine Clinic Pc NPPES

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

DOTHAN BEHAVIORAL MEDICINE CLINIC PC (NPI 1336277540) is a healthcare organization registered as a child & adolescent psychiatry in Dothan, Alabama and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through May 13, 2028, maintains 2 additional practice locations, and lists Elizabeth Dosoretz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336277540
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameDOTHAN BEHAVIORAL MEDICINE CLINIC PC
Location Address408 HEALTHWEST DRDothan, AL 36303-2054
Mailing Address4310 Metro Pkwy Ste 205Fort Myers, FL 33916-9416 · (239) 223-2751 · Fax (334) 702-1944
Fax(334) 702-1944
Organization SubpartNo
Authorized OfficialElizabeth DosoretzCeo · (239) 223-2751
Enumeration DateMarch 1, 2007
Last NPPES UpdateOctober 30, 20263 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1336277540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in AL · 19943
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
408 HEALTHWEST DR, Dothan, AL 36303

Secondary Practice Locations 2

Location 1101 Medical DrDothan, AL 36303-6903 · Phone (334) 702-7222 · Fax (334) 446-4224
Location 2141 Scouting CirTroy, AL 36081-2540 · Phone (334) 702-7222 · Fax (334) 446-4224

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

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 Behavioral Medicine Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Dothan Behavioral Medicine Clinic PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Psychiatry3
Clinical Social Worker2
Mental Health Counselor2

Clinicians, nearest first (16)

Nurse Practitioner
NPI 1285432773
408 HEALTHWEST DR
Dothan, AL 36303
(334) 702-7222
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1043519739
101 MEDICAL DR
Dothan, AL 36303
(334) 702-7222
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1356785323
101 MEDICAL DR
Dothan, AL 36303
(334) 702-7222
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1972659407
101 MEDICAL DR
Dothan, AL 36303
(334) 702-7222
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1235330374
101 MEDICAL DR
Dothan, AL 36303
(334) 702-7222
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1710083431
101 MEDICAL DR
Dothan, AL 36303
(334) 702-7222
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356192371
408 HEALTHWEST DR
Dothan, AL 36303
(334) 702-2222
✔ PECOS✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1154471548
408 HEALTHWEST DR
Dothan, AL 36303
(334) 702-7222
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1649880014
2812 HARTFORD HWY
Dothan, AL 36305
(334) 712-1170
✔ PECOS✔ Accepts Medicare3.0 mi
Nurse Practitioner
NPI 1588451637
1672 COLUMBIA HWY
Dothan, AL 36303
(334) 791-1622
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1275943292
131 S WASHINGTON ST
Slocomb, AL 36375
(334) 258-4034
✔ PECOS12 mi
Nurse Practitioner
NPI 1154817799
305 WASHINGTON ST S
Fort Gaines, GA 39851
(229) 768-3888
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1255965919
4469 CLINTON ST STE B
Marianna, FL 32446
(850) 693-4171
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1972302537
141 SCOUTING CIR
Troy, AL 36081
(334) 702-7222
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1740821958
1330 HIGHWAY 231 S
Troy, AL 36081
(334) 670-5000
✔ PECOS✔ Accepts Medicare47 mi
Clinical Social Worker
NPI 1255671699
4310 METRO PKWY STE 205
Fort Myers, FL 33916
(239) 690-6906
✔ PECOS✔ Accepts Medicare387 mi

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 01D1025710

Dothan Behavioral Medicine · Dothan, AL
Active · expires May 13, 2028
CLIA Number01D1025710
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorTemeka Buggs
Laboratory Phone(334) 702-7222
Laboratory LocationDothan Behavioral Medicine408 Healthwest Drive, Dothan, AL 36303
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 Dothan Behavioral Medicine Clinic PC's NPI number?

The NPI number for Dothan Behavioral Medicine Clinic PC is 1336277540. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Dothan Behavioral Medicine Clinic PC located?

Dothan Behavioral Medicine Clinic PC is located at 408 Healthwest Dr, Dothan, AL 36303. The listed phone number is (334) 702-7222.

What is Dothan Behavioral Medicine Clinic PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Dothan Behavioral Medicine Clinic PC enrolled in Medicare?

Yes. Dothan Behavioral Medicine Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dothan Behavioral Medicine Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Dothan Behavioral Medicine Clinic PC. 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 (9), Psychiatry (3) and Clinical Social Worker (2). Of these, 5 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dothan Behavioral Medicine Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1025710) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dothan Behavioral Medicine Clinic PC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Dothan Behavioral Medicine Clinic PC 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 Behavioral Medicine Clinic PC was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.