DOTHAN PEDIATRIC CLINIC, P. A.
NPI 1447823877
Pediatrics in Enterprise, AL

Active since July 22, 2021CLIA 01D0304757 · Accreditation
526 BOLL WEEVIL CIR, ENTERPRISE, AL 36330(334) 308-1166 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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 1447823877), doing business as Enterprise Pediatric Clinic, is a healthcare organization registered as a pediatrics in Enterprise, Alabama and active in the NPI registry since July 2021. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Gina Tolar, Insurance & Collections Supervisor, as its authorized official.

NPPES Registry Identity

NPI1447823877
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDOTHAN PEDIATRIC CLINIC, P. A.
Location Address526 BOLL WEEVIL CIREnterprise, AL 36330-4012
Mailing Address126 Clinic DrDothan, AL 36303-1980 · (334) 793-1881
Organization SubpartNo
Authorized OfficialGina TolarInsurance & Collections Supervisor · (334) 793-1881
Enumeration DateJuly 22, 2021
NPPES CertifiedJuly 22, 2021
✔ NPI 1447823877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
526 BOLL WEEVIL CIR, Enterprise, AL 36330

Other Names 1

Doing Business AsEnterprise Pediatric Clinic

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

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 01D0304757

Dothan Pediatric Clinic · Dothan, AL
Active · expires Dec 22, 2027
CLIA Number01D0304757
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorRobert Benak
Laboratory Phone(334) 793-1881
Laboratory LocationDothan Pediatric Clinic126 Clinic Drive, Dothan, AL 36303
CLIA data matches this NPI record on: Address Name 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 7

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

Marriage & Family Therapist
526 BOLL WEEVIL CIR, OFFICE B
ENTERPRISE, AL 36330
Pediatrics
526 BOLL WEEVIL CIR, ENTERPRISE PEDIATRIC CLINIC
ENTERPRISE, AL 36330
Speech-Language Pathologist
526 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Nurse Practitioner (Family)
526 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Counselor (Professional)
526 BOLL WEEVIL CIR, OFFICE B
ENTERPRISE, AL 36330
Pediatrics
526 BOLL WEEVIL CIR
ENTERPRISE, AL 36330
Marriage & Family Therapist
526 BOLL WEEVIL CIR, OFFICE B
ENTERPRISE, AL 36330

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 1447823877. It was assigned to this organization in the NPPES registry on July 22, 2021. The provider is doing business as Enterprise Pediatric Clinic.

Where is Dothan Pediatric Clinic, P. A. located?

Dothan Pediatric Clinic, P. A. is located at 526 Boll Weevil Cir, Enterprise, AL 36330. The listed phone number is (334) 308-1166.

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 01D0304757) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.