Wiregrass Wellness Center, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WIREGRASS WELLNESS CENTER, LLC

Practice address

201 Regency CT
Dothan, AL 36305-1179

Phone

(334) 673-8869

Fax

(334) 673-8851

NPI assigned

Jul 18, 2007

Last updated

Apr 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Kenton Strunk

Title

Cfo

Phone

(423) 215-0627

Specialties & licenses 3

Addresses

Other identifiers 21

Medicare fee-for-service enrollment

Enrolled in AL, FL, GA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmie Guyton, LCSW

  • Clinical Social Worker
  • Dothan, AL
  • NPI 1932664653
  Medicare reassignment NPD
• John Christopher Strunk

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1811983596

  Addiction Medicine, FL, GA

  Medicare reassignment NPD
• Jennifer Ethel Sizemore, MSN, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marianna, FL
  • NPI 1255965919

  AL

  Medicare reassignment NPD
• Dallarie Jamison, CRNP

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1083079453

  FL, GA

  Medicare reassignment
• Courtney Brue, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dothan, AL
  • NPI 1568006534
  NPD
• Melisa Ford, LPC

  • Professional Counselor
  • Troy, AL
  • NPI 1942852447
  NPD
• Latesha Michelle Knight, LPC

  • Professional Counselor
  • Troy, AL
  • NPI 1659170512
  NPD
• Jason Maher

  • Professional Counselor
  • Dothan, AL
  • NPI 1861181380
  NPD
• Lucretia Michelle Tolbert, M.S. ALC

  • Mental Health Counselor
  • Troy, AL
  • NPI 1598539942
  NPD
• Terry Denise Bradley, MS, LPC

  • Professional Counselor
  • Dothan, AL
  • NPI 1033157847
  NPD (past)
• Stephanie Hickerson-Jones, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Opelika, AL
  • NPI 1275946402
  NPD (past)
• Latoya Miles, LPC

  • Counselor
  • Dothan, AL
  • NPI 1578911897
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1013117167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8308",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363040308",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REGENCY CT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051179",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4428 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324463405",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Hospital Cir",
            "address_purpose": "LOCATION",
            "city": "Donalsonville",
            "state": "GA",
            "postal_code": "398451100",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10659 NW State Road 20",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "FL",
            "postal_code": "323213441",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "AL",
            "postal_code": "363401642",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 N Main St",
            "address_purpose": "LOCATION",
            "city": "Opp",
            "state": "AL",
            "postal_code": "364671626",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 Scouting Cir",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360812540",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Highway 231 S",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360813058",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Church St NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601101",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Bray St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306012203",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Green St",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324463357",
            "country_code": "US",
            "telephone_number": "334-673-8869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIREGRASS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "STRUNK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KENTON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-215-0627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009966175",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11498415",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DIRECTIONS",
            "identifier": "19C1R",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BCBS",
            "identifier": "Q6YNL",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811983596",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529920780",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51521565",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "601701400",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407098142C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "50198",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "523314",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914438200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010838800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013117167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104332527",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188102",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "410459675",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0348462",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229432",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1080690",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "774089000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiregrass Surgical Associates, P.C.
• Wiregrass Therapy Associates, LLC
• Wiregrass Therapy Solutions Inc
• Wiregrass Urology, PC
• Wiregrass Vascular, P.C.
• Wiregrass Wound & Amputation Prevention Center, LLC
• Wiregrass Wound & Amputation Prevention Center, LLC
• Wiregrass Wound Care Consultants LLC
• Wiregrass Wound Care LLC
• Wirewall Healthcare Distribution LLC

• Psychiatry Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.