Active NPI
Guy Malcolm Middleton, M.D.
- Obstetrics & Gynecology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25364
- Practice address
- 1118 Ross Clark Cir
Suite 402
Dothan, AL 36301-3001 - Phone
- (334) 673-3633
- Fax
- (334) 836-2893
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25364 | AL | Primary |
Addresses
Primary practice location
1118 Ross Clark Cir
Suite 402
Dothan, AL 36301-3001
Mailing address
1118 Ross Clark Cir
Suite 402
Dothan, AL 36301-3001
Phone (334) 673-3633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74-10781 | Other | AL | UNITED HEALTHCARE |
| 16691 | Other | FL | BLUE CROSS BLUE SHIELD |
| 515-16936 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Alabama School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 Ross Clark Cir
Suite 402
Dothan, AL 36301-3002
Phone (334) 673-3633
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25364 | AL | MD | Obstetrics & Gynecology Physician |
| 21912 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dothan OBGYN, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Lancaster Women's Center,P.a. | Past | Accepting new patients | |
| Houston County Healthcare Authority | Past | Accepting new patients |
Locations
1118 Ross Clark Cir
Ste 402
Dothan, AL 36301
Phone (334) 673-3633
Interoperability endpoints
- gmiddleton14403@southeasthealth.direct-ci.com
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.
-
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1427122514
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- Health Service Clinic/Center
- Lancaster, SC
- NPI 1700830254
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1053410993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "SUITE 402",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013001",
"telephone_number": "334-673-3633",
"fax_number": "334-836-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "SUITE 402",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013001",
"telephone_number": "334-673-3633",
"fax_number": "334-836-2893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "GUY",
"middle_name": "MALCOLM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "25364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "74-10781",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "16691",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-16936",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
- Michael Griffin PC (Dothan Optometric Clinic)
- Mid-South Home Care Services, LLC (Mid-South Respiratory Services & HME)
- Mid-South Home Care Services, LLC (Empatia Palliative Care)
- Emma Middleton
- Frances G Middleton, CRNA
- Mij LLC (Tri-State Community Pharmacy)
- Jordan Marie Miles, CNM, CPM
- Latoya Miles, LPC
- Milestones Psychology and Therapy Inc
- Anna J Miliner, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.