Willingham Medical Clinic, RHC, PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

WILLINGHAM MEDICAL CLINIC, RHC, PLLC

Practice address

212 W Troy St Ste B
Dothan, AL 36303-4455

Phone

(334) 437-1411

NPI assigned

May 27, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Demetrius Steele, DEMETRIUS STEELE

Title

Family Nurse Practitioner/Owner

Phone

(334) 437-1141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1386210771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W TROY ST STE B",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034455",
            "telephone_number": "334-437-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W TROY ST STE B",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034455",
            "telephone_number": "334-437-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLINGHAM MEDICAL CLINIC, RHC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "334-437-1141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DEMETRIUS STEELE"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tationna Shaquin Williams, CRNP
• Ted A Williams, M.D.
• Walter J Williams
• Yusef Prince Williams, M.D.
• Sarah Michelle Williamson
• Amber Willis
• Kasey Willis, PHARMD
• Kayla Willis, AUD
• Mark L Willis, MD
• Phyllis Lynn Willis, CRNP

• Primary Care Nurse Practitioner in Dothan, AL
• Providers in Dothan, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.