Individual provider Active NPI

Callie Poole Sellers, FNP-C

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1265293450
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-138867 Issued in AL
Practice address
287 Healthwest Dr
Dothan, AL 36303-2031
Phone
(334) 792-9500
Fax
(334) 793-1815
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-138867 AL Primary

Addresses

Primary practice location

287 Healthwest Dr
Dothan, AL 36303-2031

Mailing address

4002 Highway 85
Chancellor, AL 36316-1100
Phone (229) 221-2956

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410001359 AL Practitioner - Nurse Practitioner 4284072273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

287 Healthwest Dr
Dothan, AL 36303-2031
Phone (334) 792-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Cardiology Associates PLLC CurrentSince Feb 25, 2024 Accepting new patients
Dothan Hematology & Oncology PC CurrentSince Jun 16, 2025 Accepting new patients
Dothan Hematology & Oncology PC CurrentSince Jun 16, 2025 Accepting new patients
Wiregrass Clinic LLC Family PastSince Jan 1, 2024 Accepting new patients

Locations

1118 Ross Clark Cir
Ste 200
Dothan, AL 36301
Phone (334) 793-4804

101 Westside Dr
Dothan, AL 36303
Phone (334) 792-9500

1093 Ross Clark Cir
Dothan, AL 36303
Phone (214) 701-7816

287 Healthwest Dr
Dothan, AL 36303
Phone (334) 792-9500

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1265293450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 HIGHWAY 85",
            "city": "CHANCELLOR",
            "state": "AL",
            "postal_code": "363161100",
            "telephone_number": "229-221-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032031",
            "telephone_number": "334-792-9500",
            "fax_number": "334-793-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "CALLIE",
        "middle_name": "POOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-138867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.