Individual provider Active NPI

Rayen-Ayoub Chakra

  • Infectious Disease Physician
  • Dothan, AL
National Provider Identifier
1033608765
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
52891 Issued in AL
Practice address
3124 W Main St Ste 3
Dothan, AL 36305-1181
Phone
(334) 803-8552
Fax
(334) 828-7317
NPI assigned
May 8, 2018
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52891 AL
Infectious Disease Physician 207RI0200X ME162228 FL
Infectious Disease Physician 207RI0200X 52891 AL Primary

Addresses

Primary practice location

3124 W Main St Ste 3
Dothan, AL 36305-1181

Mailing address

3124 W Main St Ste 3
Dothan, AL 36305-1181
Phone (334) 803-8552

Other practice location 1

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Other practice location 2

1710 Lisenby Ave
Panama City, FL 32405-3730
Phone (850) 807-4420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230623001062 FL Practitioner - Infectious Disease 9335484674 Reassigns benefits to 1 organization
I20260526002664 AL Practitioner - Infectious DiseasePractitioner - Internal Medicine 9335484674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Infectious Diseases Medical Group, P.a.Group PAC ID 5092753772, 35 clinicians

Practice addresses (Care Compare)

1710 Lisenby Ave
Panama City, FL 32405-3730
Phone (850) 807-4420

3124 W Main St
Suite 3
Dothan, AL 36305-1181
Phone (334) 803-8552

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52891ALMDInfectious Disease Physician
ME162228FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Infectious Diseases Medical Group, PA CurrentSince Jul 1, 2023 Accepting new patients
Emerald Coast Infectious Diseases Medical Group, P.a. Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Wiregrass Infectious Diseases LLC Infectious Disease Current Accepting new patients

Locations

3124 W Main St
Ste 3
Dothan, AL 36305
Phone (334) 794-4648

917 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3979

1710 Lisenby Ave
Panama City, FL 32405
Phone (850) 248-7284

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1033608765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 W MAIN ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051181",
            "telephone_number": "334-803-8552",
            "fax_number": "334-828-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 W MAIN ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051181",
            "telephone_number": "334-803-8552",
            "fax_number": "334-828-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4370 W Main St",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051056",
            "country_code": "US",
            "telephone_number": "334-793-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Lisenby Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324053730",
            "country_code": "US",
            "telephone_number": "850-807-4420",
            "fax_number": "850-862-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRA",
        "first_name": "RAYEN-AYOUB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "52891",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME162228",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "52891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.