Wiregrass Clinic LLC
NPI 1497427199 · Surgery Physician · Dothan, AL
Wiregrass Clinic LLC is a Surgery Physician organization in Dothan, AL (NPI 1497427199).
Provider details
- NPI number
- 1497427199
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-30
- Last updated
- 2021-10-08
- Certified
- 2021-10-08
Frequently asked questions
- What is Wiregrass Clinic LLC's NPI number?
- Wiregrass Clinic LLC's National Provider Identifier (NPI) is 1497427199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wiregrass Clinic LLC?
- Wiregrass Clinic LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Wiregrass Clinic LLC located?
- Wiregrass Clinic LLC's practice location on file with NPPES is 4300 W Main St Ste 14, Dothan, AL 36305-1311.
- What is Wiregrass Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Wiregrass Clinic LLC is (334) 944-7015.
- Who is the authorized official for Wiregrass Clinic LLC?
- The authorized official listed on Wiregrass Clinic LLC's NPPES record is Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wiregrass Clinic LLC's NPI active?
- Yes — Wiregrass Clinic LLC's NPI (1497427199) is active in the NPPES registry as of the last update on 2021-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.