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DOTHAN PEDIATRIC CLINIC, P. A.
NPI 1376508788
Pediatrics in Dothan, AL

Active since April 19, 2006CLIA 01D2144464 · Accreditation
126 CLINIC DR, DOTHAN, AL 36303(334) 793-1881(334) 712-1815 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 22, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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

NPI1376508788
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDOTHAN PEDIATRIC CLINIC, P. A.
Location Address126 CLINIC DRDothan, AL 36303-1980
Mailing Address126 Clinic DrDothan, AL 36303-1980 · (334) 793-1881 · Fax (334) 712-1815
Phone(334) 793-1881
Fax(334) 712-1815
Organization SubpartNo
Authorized OfficialGina TolarInsurance & Collection Supervisor · (334) 793-1881
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1376508788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
126 CLINIC DR, Dothan, AL 36303
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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 Accreditation 01D2144464

Dothan Pediatric Subspecialty Clinic · Dothan, AL
Active · expires Nov 23, 2027
CLIA Number01D2144464
Laboratory TypePhysician Office
Certificate Effective DateNovember 24, 2025
Certificate Expiration DateNovember 23, 2027
Laboratory DirectorDr. Robert J. Benak
Laboratory Phone(334) 793-1881
Laboratory LocationDothan Pediatric Subspecialty Clinic5565 Montgomery Hwy, Dothan, AL 36303
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

DR. LESLEY CATHRYN MARSAL PSY.D.
Psychologist
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
KRISTINE CAMPBELL SAWYER MD
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
ELIZABETH AMY MARSHALL C.R.N.P.
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
CASSANDRA STEIN NOSSER M.D.
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
DELANCEY FOWLER
Nurse Practitioner (Family)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
CHELSEA INGRAM CPNP
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
TERA R. KNIGHTON C.P.N.P.
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881
KAREN ELIZABETH WAKEFIELD C.P.N.P.
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Houston County (334) 793-1881

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 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.

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.