Individual provider Active NPI

Paul D. Weeks, D.C.

  • Chiropractor
  • Dothan, AL
National Provider Identifier
1346439619
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2089 Issued in AL
Practice address
1817 S. Oates St.
Dothan, AL 36301
Phone
(334) 793-1081
Fax
(334) 792-7600
NPI assigned
Oct 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2089 AL Primary

Addresses

Primary practice location

1817 S. Oates St.
Dothan, AL 36301

Mailing address

2970 Ross Clark Cir Ste 2
Dothan, AL 36301-1107
Phone (334) 793-1081

Other identifiers 1

IdentifierTypeStateIssuer
529928260MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000963 AL Practitioner - Chiropractic 2062472657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dothan Spine and Specialty LLCGroup PAC ID 1557668365, 2 clinicians

Practice addresses (Care Compare)

418 N Foster St
Dothan, AL 36303-4545
Phone (334) 793-1081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2089ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dothan Spine & Specialty LLC CurrentSince Dec 21, 2015 Accepting new patients
Cole Chiropractic Center Chiropractor PastSince Feb 10, 2010 Accepting new patients
Cole Chiropractic Center Chiropractor Past Accepting new patients
Wiregrass Therapy Solutions Inc PastSince Oct 1, 2018 Accepting new patients

Locations

418 N Foster St
Dothan, AL 36303
Phone (334) 793-1081

412 N Foster St
Dothan, AL 36303
Phone (334) 793-1081

1817 S Oates St
Dothan, AL 36301
Phone (334) 793-1081

2970 Ross Clark Cir
Ste 1
Dothan, AL 36301
Phone (334) 305-0222

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.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1346439619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 ROSS CLARK CIR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011107",
            "telephone_number": "334-793-1081",
            "fax_number": "334-792-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 S. OATES ST.",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-1081",
            "fax_number": "334-792-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "PAUL",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-23",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529928260",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.