Dallarie Jamison, CRNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

CP.17240 Issued in AL

Practice address

201 Regency CT
Dothan, AL 36305-1179

Phone

(334) 673-8869

Fax

(334) 673-8851

NPI assigned

Dec 29, 2015

Last updated

May 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 9

Addresses

Other identifiers 18

Medicare fee-for-service enrollment

Enrolled in AL, GA, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jamison Behavioral Wellness LLC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1194353672
  Medicare reassignment NPD Authorized official
• Dothan Spine & Specialty LLC

  • General Practice Physician
  • Dothan, AL
  • NPI 1104282292
  Medicare reassignment NPD
• Donalsonville Hospital Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1720095805
  Medicare reassignment NPD
• Wiregrass Wellness Center, LLC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1013117167

  FL, GA

  Medicare reassignment
• Warren Behavioral Care

  • Professional Counselor
  • Dothan, AL
  • NPI 1851762009
  NPD (past)
• Warren Behavioral Care, Inc

  • Clinical Psychologist
  • Troy, AL
  • NPI 1043418098
  NPD (past)
• Wiregrass Therapy Solutions Inc

  • Physical Therapist
  • Dothan, AL
  • NPI 1629554662
  NPD (past)

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1083079453",
    "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": "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": "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": "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": "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"
        }
    ],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "DALLARIE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-127798",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN209490",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9475102",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "RN209490",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "9475102",
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        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "CP.17240",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AL",
            "license": "1-127798",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "GA",
            "license": "RN209490",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "9475102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205760",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "774089000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0348462",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083079453",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DIRECTIONS",
            "identifier": "19C1R",
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            "code": "01",
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            "issuer": "BCBS",
            "identifier": "51521565",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "003194200C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1080690",
            "state": null
        },
        {
            "code": "05",
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            "state": "FL"
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        {
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            "issuer": "NPI",
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        },
        {
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            "issuer": "VALUE OPTIONS",
            "identifier": "523314",
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        },
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        {
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            "issuer": null,
            "identifier": "229432",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Q6YNL",
            "state": null
        },
        {
            "code": "01",
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            "issuer": "CAQH",
            "identifier": "13804050",
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        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly M Jaggars, M.S., LPC
• Hannah Jo Jakelsky, CRNP
• James S Sullivan M.D. PA
• Addyson James
• Jamison Behavioral Wellness LLC
• Carmen Jan Liao, M.D.
• Maggie Lynn Janney
• Jason a. Zacks, MD PC
• Jason D. Beaver, MD LLC
• Hira Javaid, MD

• 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 May 22, 2019; 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.

Verify at the official NPI Registry.