OrganizationActive
Wiregrass Clinic LLC
NPI 1851063432 · Family Medicine Physician · Dothan, AL
Wiregrass Clinic LLC is a Family Medicine Physician organization in Dothan, AL (NPI 1851063432).
Provider details
- NPI number
- 1851063432
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wiregrass Clinic LLC
- Organization subpart
- Yes
- Authorized official
- Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding(615) 465-3334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
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
4300 W Main St Ste 405
Dothan, AL 36305-1086
Phone: (334) 944-7073
Fax: (334) 944-7058
Street-level locationGet directions
Mailing address
Po Box 689022
Franklin, TN 37068-9022
Registry dates
- Enumerated
- 2021-10-01
- Last updated
- 2021-10-01
- Certified
- 2021-09-14
Frequently asked questions
- What is Wiregrass Clinic LLC's NPI number?
- Wiregrass Clinic LLC's National Provider Identifier (NPI) is 1851063432, 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 Family Medicine 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 405, Dothan, AL 36305-1086.
- What is Wiregrass Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Wiregrass Clinic LLC is (334) 944-7073.
- 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 (1851063432) is active in the NPPES registry as of the last update on 2021-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.