WIREGRASS BEHAVIORAL GROUP LLC
NPI 1821609389
Clinic/Center - Multi-Specialty in Dothan, AL

Active since August 10, 2020
256 HONEYSUCKLE RD STE 12, DOTHAN, AL 36305(334) 792-6736(334) 792-6737 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wiregrass Behavioral Group Llc NPPES

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

WIREGRASS BEHAVIORAL GROUP LLC (NPI 1821609389) is a healthcare organization registered as a multi-specialty in Dothan, Alabama and active in the NPI registry since August 2020. The organization lists Phillip Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1821609389
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWIREGRASS BEHAVIORAL GROUP LLC
Location Address256 HONEYSUCKLE RD STE 12Dothan, AL 36305-1168
Mailing Address256 Honeysuckle Rd Ste 12Dothan, AL 36305-1168 · (334) 792-6736 · Fax (334) 792-6737
Fax(334) 792-6737
Organization SubpartNo
Authorized OfficialPhillip JohnsonPresident · (334) 792-6736
Enumeration DateAugust 10, 2020
Last NPPES UpdateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1821609389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
256 HONEYSUCKLE RD STE 12, Dothan, AL 36305

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 Behavioral Group 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 Behavioral Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1568006534
256 HONEYSUCKLE RD STE 12
Dothan, AL 36305
(334) 792-6736
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1932664653
201 REGENCY CT
Dothan, AL 36305
(334) 673-8869
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1790129252
1108 ROSS CLARK CIR
Dothan, AL 36301
(334) 793-8111
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1750053088
1118 ROSS CLARK CIR STE 302
Dothan, AL 36301
(334) 699-0060
✔ PECOS✔ Accepts Medicare4.5 mi
Mental Health Counselor
NPI 1568755981
6346 GENE TERRY RD
Cottonwood, AL 36320
(334) 691-5061
✔ PECOS✔ Accepts Medicare13 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 Behavioral Group LLC's NPI number?

The NPI number for Wiregrass Behavioral Group LLC is 1821609389. It was assigned to this organization in the NPPES registry on August 10, 2020.

Where is Wiregrass Behavioral Group LLC located?

Wiregrass Behavioral Group LLC is located at 256 Honeysuckle Rd Ste 12, Dothan, AL 36305. The listed phone number is (334) 792-6736.

What is Wiregrass Behavioral Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Wiregrass Behavioral Group LLC enrolled in Medicare?

Yes. Wiregrass Behavioral Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wiregrass Behavioral Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Wiregrass Behavioral Group LLC, in Clinical Social Worker, Mental Health Counselor, Nurse Practitioner and Psychiatry. 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. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wiregrass Behavioral Group LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Wiregrass Behavioral Group 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 Behavioral Group LLC was last updated on August 13, 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.