Southern Alabama Physicians LLP
Organization Active NPI Emergency Medicine Physician · Dothan, AL
NPI 1467701490 · NPPES record last updated Nov 27, 2017
Key facts
- NPI
- 1467701490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- SOUTHERN ALABAMA PHYSICIANS LLP
- Practice address
- 4370 W Main St
Dothan, AL 36305-1056 - Phone
- (337) 609-1382
- Fax
- (334) 793-4613
- NPI assigned
- Sep 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Derik K King, MD
- Title
- LLP Managing Partner
- Phone
- (800) 893-9698
Other NPIs on the same Medicare enrollment 1
Practitioners 118
-
Larry Mitchell, MD
-
Aaron M Morgan, M.D.
-
Steven Ramsay, MD
-
Amanda Zeller Schlieger, CRNP
-
Beth Ann Bradshaw, FNP-BC
-
Lucinda Weeks Collins, A.R.N.P.
-
William Paul Littlefield, CRNP
-
Jason M Martin, NP
-
Lisa Adamson, CRNP
-
Sara Hilton Allen, CRNP
-
Susan Lynn Armstrong, CRNP
-
Alan Jackson Babcock, M.D.
-
Joanna Lee Berry, FNP
-
Renee N Blount, CRNP
-
Michael Paul Brisson, DO, PHD, MPH, FAWM
-
Scott Ashley Charlton, M.D.
-
David Claassen, MD
-
Meghan Cole, NP
-
Daniel Keith Crane Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121003000896 | AL | Part B Supplier - Clinic/Group Practice | 0345499562 |
Receives reassigned benefits from 116 practitioners 1 other NPI on this enrollment Practice locations: Enterprise, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
4370 W Main St
Dothan, AL 36305-1056
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (337) 609-1382
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007664700 | Medicaid | FL | |
| 142274 | Medicaid | AL |
Other providers in Dothan, AL
- Southeastern Oral-Maxillofacial and Cosmetic Surgery Center
- Southeastern Pediatric Associates, P.a.
- Southeastern Psychological and Counseling Services, LLC
- Southeastern Urology, PC
- Southeastern-Oms, LLC
- Southern Alabama Regional Council on Aging
- Southern Alabama Surgery Center LLC
- Southern Cardiovascular Care, PC
- Southern Clinic PC
- Southern Eye Specialists PC
All providers in Dothan, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.