Individual provider Active NPI

Jonathan C Pfeifer, MD

  • Psychiatry Physician
  • Dothan, AL
National Provider Identifier
1235330374
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31125 Issued in AL
Practice address
101 Medical Dr
Dothan, AL 36303-6903
Phone
(334) 702-7222
Fax
(334) 702-1944
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57009001 OH
Psychiatry Physician 2084P0800X 31125 AL Primary

Addresses

Primary practice location

101 Medical Dr
Dothan, AL 36303-6903

Mailing address

101 Medical Dr
Dothan, AL 36303-6903
Phone (334) 702-7222

Other identifiers 1

IdentifierTypeStateIssuer
131512MedicaidAL

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
I20140513001427 AL Practitioner - Psychiatry 7214053388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dothan Behavioral Medicine Clinic PCGroup PAC ID 6305833724, 9 clinicians

Practice addresses (Care Compare)

408 Healthwest Dr
Dothan, AL 36303-2054
Phone 3347027222209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57009001OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dothan Psychiatry & Sleep Disorders Medicine, PC Psychiatry Current Accepting new patients
Mind Over Matter LLC CurrentSince May 6, 2023 Accepting new patients
SGMP Southland LLC Psychiatry CurrentSince Oct 1, 2020 Accepting new patients
Pfeifer Psychiatry LLC Current Accepting new patients
Mizell Memorial Hospital, Inc. Past Accepting new patients
Pathways Inc. Past Accepting new patients
Pathway, Inc. Past Accepting new patients
Laurel Oaks Behavioral Health Center Inc Past Accepting new patients
Pathways Inc Past Accepting new patients

Locations

408 Healthwest Dr
Dothan, AL 36303
Phone (334) 702-7222

700 E Cottonwood Rd
Dothan, AL 36301
Phone (334) 793-2120

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

Organizations & group practices 10

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1235330374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036903",
            "telephone_number": "334-702-7222",
            "fax_number": "334-702-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "JONATHAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "57009001",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "31125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131512",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.