Organization Active NPI

Ghori LLC

Doing business as Wiregrass Neurology

  • Specialist
  • Dothan, AL
National Provider Identifier
1144402629
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00023730 Issued in AL
Legal business name
GHORI LLC
Doing business as
Wiregrass Neurology
Practice address
1369 W. Main St.
Suite 2
Dothan, AL 36301
Phone
(334) 792-8679
Fax
(877) 361-4549
NPI assigned
Nov 27, 2007
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Dr. Sher M Ghori, M.D.NPI 1043262736
Title
Owner
Phone
(334) 792-8679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00023730 AL Primary

Addresses

Primary practice location

1369 W. Main St.
Suite 2
Dothan, AL 36301

Mailing address

1369 W. Main St.
Suite 2
Dothan, AL 36301
Phone (334) 792-8679

Other identifiers 3

IdentifierTypeStateIssuer
529926690MedicaidAL
51530943OtherBCBS PROV NUMBER
00051530943MedicaidAL

Other names 1

  • Wiregrass Neurology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051128000794 AL Part B Supplier - Clinic/Group Practice 6204856818 Receives reassigned benefits from 1 practitioner
Practice locations: Dothan, AL

National Provider Directory

National Provider Directory

Locations

1369 W Main St
Dothan, AL 36301
Phone (334) 792-2939

1369 W Main St
Ste 2
Dothan, AL 36301
Phone (334) 792-8679

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1144402629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 W. MAIN ST.",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-792-8679",
            "fax_number": "877-361-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 W. MAIN ST.",
            "address_2": "SUITE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-792-8679",
            "fax_number": "877-361-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHORI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "GHORI",
        "authorized_official_first_name": "SHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-792-8679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00023730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529926690",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NUMBER",
            "identifier": "51530943",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00051530943",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiregrass Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wiregrass Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.