Active NPI
Arthur R Summerlin III, MD
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 00012315
- Practice address
- 1108 Ross Clark Cir
Dothan, AL 36301-3022 - Phone
- (334) 671-1696
- Fax
- (334) 794-0721
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
AL, Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
AL, Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Marion, IL
- NPI 1326662891
-
- Anatomic Pathology & Clinical Pathology Physician
- San Antonio, TX
- NPI 1871036335
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medcore Associates, PLLC
Practice addresses (Care Compare)
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8111
Hospital & facility affiliations
- Southeast Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.4 of 100
- Quality
- 50
- Improvement activities
- 40
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101117000564 | AL | Practitioner - Pathology | 2264443399 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00012315 | AL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Pathology Laboratory Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Medcore Associates, PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
2015 Alexander Dr
Dothan, AL 36301
Phone (334) 671-1696
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 00012315 | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir
Dothan, AL 36301-3022
Mailing address
2015 Alexander Dr
Dothan, AL 36301-3003
Phone (334) 671-1696
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000080006 | Medicaid | AL | |
| 000375713A | Medicaid | GA |
NPI Registry JSON
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1477524890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 ALEXANDER DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013003",
"telephone_number": "334-671-1696",
"fax_number": "334-794-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-671-1696",
"fax_number": "334-794-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERLIN",
"first_name": "ARTHUR",
"middle_name": "R",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "00012315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000080006",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000375713A",
"state": "GA"
}
],
"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 Jan 14, 2010; 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.