OrganizationActive
Realm Incorporated
NPI 1558616029 · Primary Care Clinic/Center · Dothan, AL
Realm Incorporated is a Primary Care Clinic/Center organization in Dothan, AL (NPI 1558616029).
Provider details
- NPI number
- 1558616029
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sammy Banner, President(334) 702-8872
- License
- DO190 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1435 W Main St
Dothan, AL 36301-1311
Phone: (334) 702-8872
Fax: (334) 702-8957
Street-level locationGet directions
Mailing address
Po Box 8307
Dothan, AL 36304-0307
Other names (DBA / former)
- Doing business as
- Nathanael Medical Center
Registry dates
- Enumerated
- 2012-07-19
- Last updated
- 2012-07-19
Frequently asked questions
- What is Realm Incorporated's NPI number?
- Realm Incorporated's National Provider Identifier (NPI) is 1558616029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Realm Incorporated?
- Realm Incorporated is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Realm Incorporated located?
- Realm Incorporated's practice location on file with NPPES is 1435 W Main St, Dothan, AL 36301-1311.
- What is Realm Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Realm Incorporated is (334) 702-8872.
- Who is the authorized official for Realm Incorporated?
- The authorized official listed on Realm Incorporated's NPPES record is Sammy Banner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Realm Incorporated's NPI active?
- Yes — Realm Incorporated's NPI (1558616029) is active in the NPPES registry as of the last update on 2012-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.