Angela Lynne Bott, DO
Individual provider Active NPI Anesthesiology Physician · Dothan, AL
NPI 1215565742 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1215565742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- DO3602 (AL)
- Practice address
- 1118 Ross Clark Cir Ste 700
Dothan, AL 36301-3030 - Phone
- (334) 793-5105
- NPI assigned
- Mar 30, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Florida College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Consultants Medical Group PC
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111
Hospital & facility affiliations
- Southeast Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710003364 | AL | Practitioner - Anesthesiology | 3678991858 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3602 | AL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants Medical Group PC | Anesthesiology | Current |
Accepting new patients |
Locations
1118 Ross Clark Cir
Ste 700
Dothan, AL 36301
Phone (334) 793-5105
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO3602 | AL | Yes |
Addresses
Primary practice location
1118 Ross Clark Cir Ste 700
Dothan, AL 36301-3030
Mailing address
1118 Ross Clark Cir Ste 700
Dothan, AL 36301-3043
Phone (334) 793-5105
Other providers in Dothan, AL
- Bonnie J Dungan MD LLC
- Adam L Borcik
- Filippo Borsellino
- Kara Lane Bortz
- Juan Botero-Giraldo
- Cortney Parrish Bourkard
- Bowen Pharmacy LLC
- George C Bowen Jr.
- Ashley H Bowers
- Walter L Bowers
All providers in Dothan, AL · Anesthesiology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.