Individual provider Active NPI

Temple Hudson Lazenby, M.D.

  • Obstetrics & Gynecology Physician
  • Dothan, AL
National Provider Identifier
1144252305
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
13480 Issued in AL
Practice address
1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007
Phone
(334) 793-3900
Fax
(334) 793-5227
NPI assigned
Jul 7, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 13480 AL Primary

Addresses

Primary practice location

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007

Mailing address

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007
Phone (334) 793-3900

Other identifiers 4

IdentifierTypeStateIssuer
51011907OtherALBCBS
000025429MedicaidAL
051025429OtherALBCBS
009939048MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000763 AL Practitioner - Obstetrics/Gynecology 8022204908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Alabama College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Medical Center, PCGroup PAC ID 7416976188, 7 clinicians

Practice addresses (Care Compare)

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3027

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3102
Phone (334) 793-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13480ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Medical Center, PC Obstetrics & Gynecology CurrentSince Jul 20, 1995 Accepting new patients
Obhg Alabama, P.C. Obstetrics & Gynecology CurrentSince Jul 2, 2023 Accepting new patients
Houston County Healthcare Authority Past Accepting new patients

Locations

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

1118 Ross Clark Cir
Ste 60
Dothan, AL 36301

1118 Ross Clark Cir
Ste 600
Dothan, AL 36301
Phone (334) 793-3900

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20335/brand/1/csg/1/fhir/r4
  • Direct secure messaging: temple.lazenby.1@20335.direct.athenahealth.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.

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1144252305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013007",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013007",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "TEMPLE",
        "middle_name": "HUDSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "13480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51011907",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000025429",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051025429",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939048",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.