Active NPI
Jonathan G Vukovich, M.D.
- Urology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 00019824
- Practice address
- 1118 Ross Clark Cir
500
Dothan, AL 36301-3001 - Phone
- (334) 794-4159
- Fax
- (334) 792-7019
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 00019824 | AL | Primary |
Addresses
Primary practice location
1118 Ross Clark Cir
500
Dothan, AL 36301-3001
Mailing address
1118 Ross Clark Cir
500
Dothan, AL 36301-3001
Phone (334) 794-4159
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 |
|---|---|---|---|---|
| I20080909000304 | AL | Practitioner - Urology | 6204902687 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Wisconsin School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Professional LN
Enterprise, AL 36330-2085
Phone (334) 347-3404
1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087
Hospital & facility affiliations
- Southeast Health Medical Center
- Donalsonville Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00019824 | AL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Urology | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Southeast Alabama Medical Center Employee Pharmacy | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
#300
Dothan, AL 36301
Interoperability endpoints
- jvukovich14482@southeasthealth.direct-ci.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Pharmacy
- Dothan, AL
- NPI 1053526368
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
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": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528065539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "500",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013001",
"telephone_number": "334-794-4159",
"fax_number": "334-792-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR",
"address_2": "500",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013001",
"telephone_number": "334-794-4159",
"fax_number": "334-792-7019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUKOVICH",
"first_name": "JONATHAN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "00019824",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; 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.