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WIREGRASS SURGICAL ASSOCIATES, P.C.
NPI 1750387833
Surgery - Vascular Surgery in Dothan, AL

Active since June 23, 2005CLIA 01D1083033 · Waiver
1118 ROSS CLARK CIR, STE 310, DOTHAN, AL 36301(334) 793-1534(334) 793-6991 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Wiregrass Surgical Associates, P.c. NPPES

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

WIREGRASS SURGICAL ASSOCIATES, P.C. (NPI 1750387833) is a healthcare organization registered as a vascular surgery in Dothan, Alabama and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through April 23, 2028 and lists Steven M. Fendley, President, as its authorized official.

NPPES Registry Identity

NPI1750387833
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameWIREGRASS SURGICAL ASSOCIATES, P.C.
Location Address1118 ROSS CLARK CIR, STE 310Dothan, AL 36301-3002
Mailing Address1118 Ross Clark Cir, Ste 310Dothan, AL 36301-3002 · (334) 793-1534 · Fax (334) 793-6991
Phone(334) 793-1534
Fax(334) 793-6991
Organization SubpartNo
Authorized OfficialSteven M. FendleyPresident · (334) 793-1534
Enumeration DateJune 23, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1750387833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in AL · 0074230
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 0074230 (AL)

Other Identifiers 1

Other000003047248AL · Phcs Group Id #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Waiver 01D1083033

Wiregrass Surgical Associates PC Dba Wiregrass Clinic LLC · Dothan, AL
Active · expires Apr 23, 2028
CLIA Number01D1083033
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2026
Certificate Expiration DateApril 23, 2028
Laboratory DirectorSteven M. Fendley
Laboratory Phone(334) 793-1534
Laboratory LocationWiregrass Surgical Associates PC Dba Wiregrass Clinic LLC4300 West Main Street Suite 24, Dothan, AL 36305
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

JOSEPH JASON PHILLIPS M.D.
Urology
1118 ROSS CLARK CIR, 500
DOTHAN, AL 36301
Houston County (334) 794-4159
PREMIER CARDIOLOGY CONSULTANTS INC
Internal Medicine (Cardiovascular Disease)
1118 ROSS CLARK CIR, STE 704
DOTHAN, AL 36301
Houston County (334) 699-6396
GUY MALCOLM MIDDLETON M.D.
Obstetrics & Gynecology
1118 ROSS CLARK CIR, SUITE 402
DOTHAN, AL 36301
Houston County (334) 673-3633
MR. JUSTIN CASEY CRNP
Nurse Practitioner
1118 ROSS CLARK CIR, SUITE 303
DOTHAN, AL 36301
Houston County (334) 794-3192
JOHN EVANS JR. NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1118 ROSS CLARK CIR, SUITE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
MR. PHILLIP TYLER STANLEY C.R.N.A.
Nurse Anesthetist, Certified Registered
1118 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-8111
DR. MATTHEW T JENNINGS DO
Anesthesiology
1118 ROSS CLARK CIR
DOTHAN, AL 36301
Houston County (334) 793-5105
CHARLES MEADOR BEVERLY M.D.
Obstetrics & Gynecology
1118 ROSS CLARK CIR, SUITE 600
DOTHAN, AL 36301
Houston County (334) 793-3900

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 Surgical Associates, P.C.'s NPI number?

The NPI number for Wiregrass Surgical Associates, P.C. is 1750387833. It was assigned to this organization in the NPPES registry on June 23, 2005.

Where is Wiregrass Surgical Associates, P.C. located?

Wiregrass Surgical Associates, P.C. is located at 1118 Ross Clark Cir Ste 310, Dothan, AL 36301. The listed phone number is (334) 793-1534.

What is Wiregrass Surgical Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Wiregrass Surgical Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1083033) is associated with this NPI, valid through April 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wiregrass Surgical Associates, P.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.