Individual provider Active NPI

Christopher O. Ike, M.D.

  • Interventional Cardiology Physician
  • Dothan, AL
National Provider Identifier
1043346893
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
70218 Issued in GA
Practice address
4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone
(334) 793-9564
Fax
(334) 340-2805
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 2005-00555 NC
Cardiovascular Disease Physician 207RC0000X 2005-00555 NC
Interventional Cardiology Physician 207RI0011X 70218 GA Primary

Addresses

Primary practice location

4300 W Main St Ste 102
Dothan, AL 36305-1306

Mailing address

PO Box 6135
Macon, GA 31208-6135
Phone (478) 738-9443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20130715000776 GA Practitioner - Cardiovascular Disease (Cardiology) 1759488604 Reassigns benefits to 1 organization
I20170119000199 AL Practitioner - Cardiovascular Disease (Cardiology) 1759488604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Texas Medical Branch at Galveston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates, PAGroup PAC ID 1153361225, 7 clinicians

Practice addresses (Care Compare)

4300 W Main St
Suite 102
Dothan, AL 36205-1306
Phone (334) 793-9564

Hospital & facility affiliations

  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
  • Dale Medical Center Hospital, Ozark, AL, CCN 010021
  • Medical Center Barbour Hospital, Eufaula, AL, CCN 011307
  • Jackson Hospital Hospital, Marianna, FL, CCN 100142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00555NCMDCardiovascular Disease Physician
70218GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Heart Physicians LLC Cardiovascular Disease CurrentSince May 17, 2013 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Nov 21, 2016 Accepting new patients
Jackson Hospital and Clinic, Inc. Internal Medicine Current Accepting new patients
Jackson Hospital and Clinic Inc Cardiovascular Disease CurrentSince Nov 21, 2016 Accepting new patients
Cardiology Associates, PA Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
Cardiac Imaging Inc CurrentSince May 1, 2025 Accepting new patients
Health Services of Central Georgia, Inc Cardiovascular Disease PastSince Jun 1, 2004 Accepting new patients
Macon Electrophysiology Associates Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Cumberland Cardiology, P.a. Interventional Cardiology Past Accepting new patients

Locations

1118 Ross Clark Cir
Ste 501
Dothan, AL 36301
Phone (334) 793-9564

4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1758 Park Pl
Ste 300
Montgomery, AL 36106
Phone (334) 274-1204

1801 Pine St
Ste 103
Montgomery, AL 36106
Phone (334) 293-8888

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

654 1st St
Macon, GA 31201
Phone (478) 738-9443

Interoperability endpoints

  • Direct secure messaging: christopherike@dothanspcl.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA

Organizations & group practices 10

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

Hospital & facility affiliations 7

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1043346893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6135",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312086135",
            "telephone_number": "478-738-9443",
            "fax_number": "478-738-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051306",
            "telephone_number": "334-793-9564",
            "fax_number": "334-340-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKE",
        "first_name": "CHRISTOPHER",
        "middle_name": "O.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00555",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2005-00555",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "70218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.