Individual provider Active NPI

Hayden Hundley, MD

  • Pain Medicine (Anesthesiology) Physician
  • Dothan, AL
National Provider Identifier
1396124459
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
45129 Issued in AL
Practice address
4300 W Main St Ste 405
Dothan, AL 36305-1086
Phone
(334) 944-7073
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME147872 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X 45129 AL Primary

Addresses

Primary practice location

4300 W Main St Ste 405
Dothan, AL 36305-1086

Mailing address

PO Box 6599
Dothan, AL 36302-6599
Phone (344) 944-7073

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hayden.hundley.1@3326.direct.athenahealth.com

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
I20221220001597 AL Practitioner - Anesthesiology 5092008094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

4300 W Main St
Suite 405
Dothan, AL 36305-1086
Phone (334) 944-7073

Hospital & facility affiliations

  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45129ALMDPain Medicine (Anesthesiology) Physician
ME147872FLMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Clinic LLC Pain Medicine CurrentSince Feb 1, 2023 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

4300 W Main St
Ste 405
Dothan, AL 36305
Phone (334) 944-7073

4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900

Interoperability endpoints

  • Direct secure messaging: hayden.hundley.1@3326.direct.athenahealth.com

Organizations & group practices 2

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": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1396124459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6599",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026599",
            "telephone_number": "344-944-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 405",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051086",
            "telephone_number": "334-944-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDLEY",
        "first_name": "HAYDEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME147872",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "45129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hayden.hundley.1@3326.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "address_1": "4300 W Main St Ste 405",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363051086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.