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WIREGRASS UROLOGY, PC
NPI 1780758359
Urology in Dothan, AL

Active since November 17, 2006
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305(334) 793-9564(334) 671-8907 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wiregrass Urology, Pc NPPES

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

WIREGRASS UROLOGY, PC (NPI 1780758359) is a healthcare organization registered as an urology in Dothan, Alabama and active in the NPI registry since November 2006. The organization lists Mark A Byard, Owner, as its authorized official.

NPPES Registry Identity

NPI1780758359
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameWIREGRASS UROLOGY, PC
Location Address4300 W MAIN ST, SUITE 102Dothan, AL 36305-1054
Mailing Address4300 W Main St, Suite 102Dothan, AL 36305-1054 · (334) 793-9564 · Fax (334) 671-8907
Phone(334) 793-9564
Fax(334) 671-8907
Organization SubpartNo
Authorized OfficialMark A ByardOwner · (334) 793-9564
Enumeration DateNovember 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780758359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4300 W MAIN ST, Dothan, AL 36305
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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 SINGLE SPECIALTY GROUP

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 Urology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wiregrass Urology, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roger Williams, M.D.
Urology
NPI 1174543821
4300 W MAIN ST SUITE 102
Dothan, AL 36305
(334) 793-9564
✔ PECOS✔ Accepts Medicare3.8 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 Urology, PC's NPI number?

The NPI number for Wiregrass Urology, PC is 1780758359. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Wiregrass Urology, PC located?

Wiregrass Urology, PC is located at 4300 W Main St Suite 102, Dothan, AL 36305. The listed phone number is (334) 793-9564.

What is Wiregrass Urology, PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Wiregrass Urology, PC enrolled in Medicare?

Yes. Wiregrass Urology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wiregrass Urology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Wiregrass Urology, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wiregrass Urology, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.