WIREGRASS MEDICAL ASSOCIATES 2 LLC
NPI 1457898983
Internal Medicine in Dothan, AL

NPI Status: Active since January 23, 2017

Contact Information

2431 W MAIN ST
STE 1102
DOTHAN, AL
ZIP 36301
Phone: (334) 699-5780
Fax: (334) 699-5786

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  • Organization
  • Internal Medicine
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment
  • CLIA Number: 01D1087572
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 08-05-2026

About WIREGRASS MEDICAL ASSOCIATES 2 LLC

This page provides the complete NPI Profile along with additional information for Wiregrass Medical Associates 2 Llc, an internist established in Dothan, Alabama operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1457898983 assigned on January 2017. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kenneth W Harris Md (Owner)

NPI
1457898983
Provider Name
WIREGRASS MEDICAL ASSOCIATES 2 LLC
Entity Type
Organization
Location Address
2431 W MAIN ST STE 1102 DOTHAN, AL 36301
Location Phone
(334) 699-5780
Location Fax
(334) 699-5786
Mailing Address
2431 W MAIN ST STE 1102 DOTHAN, AL 36301
Mailing Phone
(334) 699-5780
Mailing Fax
(334) 699-5786
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2017
Last Update Date
01-23-2017
Code Navigator

An internist like Wiregrass Medical Associates 2 Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Wiregrass Medical Associates 2 Llc is a medicare supplier with PTAN 20415479 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Heat & Cold Applications or Hospital Beds (Electric) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Patient Lifts or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Ventilators Accessories and/or Supplies or Surgical Dressings.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KENNETH W HARRIS MD

Authorized Official Title
OWNER
Authorized Official Phone
(334) 699-5780

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20415479
Accepts Medicare Assignment
NO
Specialities List
Medical Supply Company Other.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Assist Devices -
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Ventilators Accessories and/or Supplies - Volume control ventilator, Pressure support ventilator
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D1087572
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
August 06, 2024
Certificate Expiration Date
August 05, 2026
Laboratory Director
OLAWALE OSUNSANYA MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wiregrass Medical Associates 2 Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457898983, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 6 + 9 + 1 + 6 + 9 + 1 + 6 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1457898983.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2431 W MAIN ST, STE 1001
DOTHAN, AL 36301
Physician Assistant (Surgical)
2431 W MAIN ST, STE 1001
DOTHAN, AL 36301
Physician Assistant (Surgical)
2431 W MAIN ST, STE 1001
DOTHAN, AL 36301
Obstetrics & Gynecology (Gynecology)
2431 W MAIN ST, STE 501
DOTHAN, AL 36301
Counselor (Professional)
2431 W MAIN ST, SUITE 603
DOTHAN, AL 36301
Dentist (Oral and Maxillofacial Surgery)
2431 W MAIN ST, SUITE 701
DOTHAN, AL 36301
Pharmacist
2431 W MAIN ST
DOTHAN, AL 36301
Dentist (General Practice)
2431 W MAIN ST, SUITE 601
DOTHAN, AL 36301
Dentist (General Practice)
2431 W MAIN ST, SUITE 401
DOTHAN, AL 36301
Dentist (General Practice)
2431 W MAIN ST, STE. 601
DOTHAN, AL 36301
Dentist (General Practice)
2431 W MAIN ST, SUITE 402
DOTHAN, AL 36301
Specialist
2431 W MAIN ST, STE 501
DOTHAN, AL 36301
Dentist (General Practice)
2431 W MAIN ST, SUITE 401
DOTHAN, AL 36301
Counselor (Mental Health)
2431 W MAIN ST, SUITE 603
DOTHAN, AL 36301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2431 W MAIN ST, SUITE 1001
DOTHAN, AL 36301
Dentist (Orthodontics and Dentofacial Orthopedics)
2431 W MAIN ST, SUITE 303
DOTHAN, AL 36301
Nurse Practitioner (Family)
2431 W MAIN ST, SUITE 1102
DOTHAN, AL 36301
Surgery
2431 W MAIN ST, SUITE 1001
DOTHAN, AL 36301
Specialist
2431 W MAIN ST, STE 501
DOTHAN, AL 36301
Dermatology
2431 W MAIN ST, STE 501
DOTHAN, AL 36301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457898983, enumerated as an "organization" on January 23, 2017.

The provider is located at 2431 W MAIN ST STE 1102 DOTHAN, AL 36301 and the phone number is (334) 699-5780.

Internal Medicine with taxonomy code 207R00000X.