DOTHAN PEDIATRIC CLINIC, P. A.
NPI 1376508788
Pediatrics in Dothan, AL
About Dothan Pediatric Clinic, P. A. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOTHAN PEDIATRIC CLINIC, P. A. (NPI 1376508788) is a healthcare organization registered as a pediatrics in Dothan, Alabama and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through November 23, 2027 and lists Gina Tolar, Insurance & Collection Supervisor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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 Pediatric Clinic, P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Dothan Pediatric Clinic, P. A., which bills Medicare for the services they deliver. Of these, 17 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 37Source: 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 Accreditation 01D2144464
Dothan Pediatric Subspecialty Clinic · 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 Pediatric Clinic, P. A.'s NPI number?
The NPI number for Dothan Pediatric Clinic, P. A. is 1376508788. It was assigned to this organization in the NPPES registry on April 19, 2006.
Where is Dothan Pediatric Clinic, P. A. located?
Dothan Pediatric Clinic, P. A. is located at 126 Clinic Dr, Dothan, AL 36303. The listed phone number is (334) 793-1881.
What is Dothan Pediatric Clinic, P. A.'s specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Dothan Pediatric Clinic, P. A. enrolled in Medicare?
Yes. Dothan Pediatric Clinic, P. A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dothan Pediatric Clinic, P. A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 5 Medicare specialties reassign their Medicare billing to Dothan Pediatric Clinic, P. A.. 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 Pediatric Medicine (16), Nurse Practitioner (14) and General Practice (5). Of these, 17 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dothan Pediatric Clinic, P. A. hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 01D2144464) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dothan Pediatric Clinic, P. A. accept?
Health plans from Ambetter Health and Ambetter of Alabama list Dothan Pediatric Clinic, P. A. 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 Pediatric Clinic, P. A. was last updated on July 22, 2021. 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.
# Dothan Pediatric Clinic, P. A. · NPI 1376508788
Pediatrics organization in Dothan, Alabama. Organization record, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1376508788 (Entity type: Organization)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Gina Tolar, INSURANCE & COLLECTION SUPERVISOR
## Practice location
- **Address:** 126 CLINIC DR, Dothan, AL 36303-1980
- **Phone:** (334) 793-1881 · **Fax:** (334) 712-1815
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (16), Nurse Practitioner (14), General Practice (5); 17 practice at this address and 21 within 10 miles; [full list](https://npiprofile.com/npi/1376508788/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1376508788) · Data from the CMS NPPES public registry.