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WIREGRASS CLINIC LLC
NPI 1851063432
Family Medicine in Dothan, AL

Active since October 01, 2021
4300 W MAIN ST STE 405, DOTHAN, AL 36305(334) 944-7073(334) 944-7058 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wiregrass Clinic Llc NPPES

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

WIREGRASS CLINIC LLC (NPI 1851063432) is a healthcare organization registered as a family medicine in Dothan, Alabama and active in the NPI registry since October 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1851063432
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWIREGRASS CLINIC LLC
Location Address4300 W MAIN ST STE 405Dothan, AL 36305-1086
Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7230 · Fax (615) 628-6877
Phone(334) 944-7073
Fax(334) 944-7058
Organization SubpartYes
Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334
Enumeration DateOctober 1, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1851063432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4300 W MAIN ST STE 405, 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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TYLER WATKINS CRNP
Nurse Practitioner
4300 W MAIN ST STE 405
DOTHAN, AL 36305
Houston County (334) 944-7073
DR. DAVID BRUCE WOODHAM MD
Neurological Surgery
4300 W MAIN ST STE 405
DOTHAN, AL 36305
Houston County (334) 944-7073
HAYDEN HUNDLEY MD
Anesthesiology (Pain Medicine)
4300 W MAIN ST STE 405
DOTHAN, AL 36305
Houston County (334) 944-7073
DR. NICHOLAS FREDERICK VOSS MD
Neurological Surgery
4300 W MAIN ST STE 405
DOTHAN, AL 36305
Houston County (334) 944-7073
MR. JEFFREY TODD NORRIS PA
Physician Assistant
4300 W MAIN ST STE 405
DOTHAN, AL 36305
Houston County (334) 944-7073
MRS. COURTNEY NIKOLE COUTURE PA-C
Physician Assistant
4300 W MAIN ST STE 405
DOTHAN, AL 36305
Houston County (334) 944-7073

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 Clinic LLC's NPI number?

The NPI number for Wiregrass Clinic LLC is 1851063432. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Wiregrass Clinic LLC located?

Wiregrass Clinic LLC is located at 4300 W Main St Ste 405, Dothan, AL 36305. The listed phone number is (334) 944-7073.

What is Wiregrass Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wiregrass Clinic LLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.