WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC
NPI 1730756248
Surgery in Dothan, AL

Active since June 04, 2021
2967 ROSS CLARK CIR, DOTHAN, AL 36301(334) 305-2085 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2025, Nov 24, 2025, Aug 12, 2025 and 3 more (6 updates tracked since 2021).

About Wiregrass Wound & Amputation Prevention Center, Llc NPPES

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

WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC (NPI 1730756248) is a healthcare organization registered as a surgery in Dothan, Alabama and active in the NPI registry since June 2021. The organization maintains 2 additional practice locations and lists Doug Duke, President, as its authorized official.

NPPES Registry Identity

NPI1730756248
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameWIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC
Location Address2967 ROSS CLARK CIRDothan, AL 36301-1119
Mailing Address2967 Ross Clark CirDothan, AL 36301-1119 · (334) 305-2085 · Fax (229) 723-7762
Organization SubpartNo
Authorized OfficialDoug DukePresident · (334) 305-2085
Enumeration DateJune 4, 2021
Last NPPES UpdateDecember 15, 20256 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1730756248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2967 ROSS CLARK CIR, Dothan, AL 36301

Other Names 1

Doing Business AsWiregrass Wound & Amputation Prevention Center, Llc

Secondary Practice Locations 2

Location 13122 Southride LnBonifay, FL 32425-3325 · Phone (850) 547-0011
Location 211740 Columbia St Ste 1Blakely, GA 39823-2574 · Phone (334) 305-2085

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wiregrass Wound & Amputation Prevention Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Wiregrass Wound & Amputation Prevention Center, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

General Surgery
NPI 1134395072
2967 ROSS CLARK CIR
Dothan, AL 36301
(334) 305-2085
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164312310
2967 ROSS CLARK CIR
Dothan, AL 36301
(334) 305-2085
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427676584
2967 ROSS CLARK CIR
Dothan, AL 36301
(334) 305-2085
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790461044
11740 COLUMBIA ST STE 1
Blakely, GA 39823
(229) 724-3000
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1215388160
617 E BROAD ST STE B
Eufaula, AL 36027
(334) 232-4368
✔ PECOS✔ Accepts Medicare50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wiregrass Wound & Amputation Prevention Center, LLC's NPI number?

The NPI number for Wiregrass Wound & Amputation Prevention Center, LLC is 1730756248. It was assigned to this organization in the NPPES registry on June 4, 2021.

Where is Wiregrass Wound & Amputation Prevention Center, LLC located?

Wiregrass Wound & Amputation Prevention Center, LLC is located at 2967 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 305-2085.

What is Wiregrass Wound & Amputation Prevention Center, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wiregrass Wound & Amputation Prevention Center, LLC enrolled in Medicare?

Yes. Wiregrass Wound & Amputation Prevention Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wiregrass Wound & Amputation Prevention Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Wiregrass Wound & Amputation Prevention Center, LLC. 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 (4) and General Surgery (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wiregrass Wound & Amputation Prevention Center, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Wiregrass Wound & Amputation Prevention Center, LLC 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 Wiregrass Wound & Amputation Prevention Center, LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.