WIREGRASS DERMATOLOGY, LLC
NPI 1922752427
Dermatology in Donalsonville, GA

Active since February 04, 2022
804 N WILEY AVE, DONALSONVILLE, GA 39845(229) 524-2808(229) 524-2738 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2023, Sep 23, 2022, Sep 15, 2022 and 4 more (7 updates tracked since 2022).

About Wiregrass Dermatology, Llc NPPES

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

WIREGRASS DERMATOLOGY, LLC (NPI 1922752427) is a healthcare organization registered as a dermatology in Donalsonville, Georgia and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Dothan and lists Andrea Garcia Alexander, Officer/owner, as its authorized official.

NPPES Registry Identity

NPI1922752427
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWIREGRASS DERMATOLOGY, LLC
Location Address804 N WILEY AVEDonalsonville, GA 39845-1120
Mailing Address804 N Wiley AveDonalsonville, GA 39845-1120 · (229) 524-2808 · Fax (229) 524-1068
Fax(229) 524-2738
Organization SubpartNo
Authorized OfficialAndrea Garcia AlexanderOfficer/owner · (229) 524-2808
Enumeration DateFebruary 4, 2022
Last NPPES UpdateJanuary 26, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1922752427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
804 N WILEY AVE, Donalsonville, GA 39845

Other Names 3

Doing Business AsWiregrass Dermatology, Llc
Doing Business AsWiregrass Dermatology Of Alabama
Former Legal Business NameAndrea Alexander Md, Llc

Secondary Practice Location 1

Location 12800 Ross Clark Cir Ste 2Dothan, AL 36301-9917 · Phone (334) 699-7477 · Fax (334) 305-2199

Other Identifiers 2

Other1346433521Md Npi
Other1255798047Pa Npi

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Wiregrass Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1346433521
804 N WILEY AVE
Donalsonville, GA 39845
(229) 524-2808
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1952530222
2401 OSLER CT
Albany, GA 31707
(229) 518-2700
✔ PECOS✔ Accepts Medicare55 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 Dermatology, LLC's NPI number?

The NPI number for Wiregrass Dermatology, LLC is 1922752427. It was assigned to this organization in the NPPES registry on February 4, 2022. The provider is doing business as Wiregrass Dermatology of Alabama. The provider was formerly known as Andrea Alexander MD, LLC.

Where is Wiregrass Dermatology, LLC located?

Wiregrass Dermatology, LLC is located at 804 N Wiley Ave, Donalsonville, GA 39845. The listed phone number is (229) 524-2808.

What is Wiregrass Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Wiregrass Dermatology, LLC enrolled in Medicare?

Yes. Wiregrass Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wiregrass Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Wiregrass Dermatology, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wiregrass Dermatology, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wiregrass Dermatology, 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 Dermatology, LLC was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.