Active NPI
Feagin & Owen, M.D.., P.C.
- Medical Specialty Clinic/Center
- Dothan, AL
National Provider Identifier
1346490604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 7921
- Legal business name
- FEAGIN & OWEN, M.D.., P.C.
- Practice address
- 4300 W Main St
Suite 43
Dothan, AL 36305-1054 - Phone
- (334) 793-7211
- Fax
- (334) 793-5425
- NPI assigned
- Sep 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly C Byrd
- Title
- Insurance
- Phone
- (334) 793-7211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 7921 | AL | Primary |
| Medical Specialty Clinic/Center | 261QM2500X | 13944 | AL |
Addresses
Primary practice location
4300 W Main St
Suite 43
Dothan, AL 36305-1054
Mailing address
4300 W Main St
Suite 43
Dothan, AL 36305-1054
Phone (334) 793-7211
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000011782 | Medicaid | AL | |
| 000082133 | Medicaid | AL | |
| 1427141282 | Other | AL | INDIVIDUAL NPI FOR DR. CHARLES FEAGIN |
| 1619062064 | Other | AL | INDIVIDUAL NPI FOR DR. WILLIAM I. OWEN |
| 11782 | Other | AL | BCBS OF ALABAMA PROVIDER NUMBER -- CHARLES FEAGIN, M.D. |
| 82133 | Other | AL | BCBS OF ALABAMA PROVIDER FOR DR. WILLIAM I. OWEN, JR |
| 529001560 | Other | AL | ALABAMA MEDICAID PAYEE ID: 529001560 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4300 W Main St
Ste 43
Dothan, AL 36305
Phone (334) 793-7211
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Dothan, AL
- NPI 1427141282
-
- Specialist
- Dothan, AL
- NPI 1619062064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1346490604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 W MAIN ST",
"address_2": "SUITE 43",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051054",
"telephone_number": "334-793-7211",
"fax_number": "334-793-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MAIN ST",
"address_2": "SUITE 43",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051054",
"telephone_number": "334-793-7211",
"fax_number": "334-793-5425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEAGIN & OWEN, M.D.., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-23",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "INSURANCE",
"authorized_official_telephone_number": "334-793-7211"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "AL",
"license": "7921",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "AL",
"license": "13944",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000011782",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000082133",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI FOR DR. CHARLES FEAGIN",
"identifier": "1427141282",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI FOR DR. WILLIAM I. OWEN",
"identifier": "1619062064",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA PROVIDER NUMBER -- CHARLES FEAGIN, M.D.",
"identifier": "11782",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA PROVIDER FOR DR. WILLIAM I. OWEN, JR",
"identifier": "82133",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALABAMA MEDICAID PAYEE ID: 529001560",
"identifier": "529001560",
"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 Oct 9, 2008; 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.