Individual provider Active NPI

Alan Cleveland Turnham, MD

  • Dermatology Physician
  • Dothan, AL
National Provider Identifier
1144307133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
00007251 Issued in AL
Practice address
2571 Ross Clark Circle SW
Dothan, AL 36301
Phone
(334) 793-2995
Fax
(334) 671-2995
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 00007251 AL Primary

Addresses

Primary practice location

2571 Ross Clark Circle SW
Dothan, AL 36301

Mailing address

2571 Ross Clark Circle SW
Dothan, AL 36301
Phone (334) 793-2995

Other identifiers 2

IdentifierTypeStateIssuer
51002571OtherALBCBS
0310050OtherUNITED HEALTHCARE

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
I20110103000079 AL Practitioner - Dermatology 6507054806 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00007251ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alan C Turnham, M.D.,P.a. Dermatology CurrentSince Aug 3, 2015 Accepting new patients

Locations

2571 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2995

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144307133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 ROSS CLARK CIRCLE SW",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-2995",
            "fax_number": "334-671-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 ROSS CLARK CIRCLE SW",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-2995",
            "fax_number": "334-671-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNHAM",
        "first_name": "ALAN",
        "middle_name": "CLEVELAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "00007251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51002571",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0310050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.