Samuel Pope Winegar, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

DO3764 Issued in AL

Practice address

1118 Ross Clark Cir Ste 700
Dothan, AL 36301-3043

Phone

(334) 793-5105

NPI assigned

Apr 3, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants Medical Group PCGroup PAC ID 8628975935, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Anesthesia Consultants Medical Group PC

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
  • NPI 1902885874

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houston County Healthcare Authority

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1164403861
  Care Compare affiliation

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1417586207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20502 WILDERNESS RUN RD",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 700",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013043",
            "telephone_number": "334-793-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEGAR",
        "first_name": "SAMUEL",
        "middle_name": "POPE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "DO3764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayala Wilson
• James Olin Wilson Jr., RPH
• Philip Thomas Wilson, D.O.
• Taylor Wilson
• Tericka Wilson
• Wiregrass Behavioral Group LLC
• Wiregrass Clinic LLC
• Wiregrass Clinic LLC
• Wiregrass Clinic LLC
• Wiregrass Clinic LLC

• Anesthesiology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Anesthesiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.