Dothan Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOTHAN PRIMARY CARE LLC

Practice address

1891 Honeysuckle Rd Ste 2a
Dothan, AL 36305-4291

Phone

(334) 794-6504

Fax

(334) 793-4452

NPI assigned

Dec 30, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nidal Yunis, M.D.

Title

Owner

Phone

(334) 699-6396

Specialties & licenses 1

Addresses

Other names 1

• Dothan Family Practice Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1003403569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242848",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361242848",
            "telephone_number": "800-334-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 HONEYSUCKLE RD STE 2A",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054291",
            "telephone_number": "334-794-6504",
            "fax_number": "334-793-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "YUNIS",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-699-6396",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dothan Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.