Women's Medical Center, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WOMEN'S MEDICAL CENTER, PC

Practice address

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007

Phone

(334) 793-3900

Fax

(334) 793-5227

NPI assigned

Aug 3, 2006

Last updated

Apr 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci Beck

Title

Office Administrator

Phone

(334) 793-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20335/brand/1/csg/1/fhir/r4

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Eugene Farmer Jr., M.D.

  • Obstetrics Physician
  • Dothan, AL
  • NPI 1962458380
  Medicare reassignment Care Compare group NPD
• Stephanie Gibson, MD

  • Obstetrics & Gynecology Physician
  • Dothan, AL
  • NPI 1134313794
  Medicare reassignment Care Compare group NPD
• Nataleigh Jones, DNP, CRNP, FNP-C

  • Nurse Practitioner
  • Birmingham, AL
  • NPI 1801533559
  Medicare reassignment Care Compare group NPD
• Jessica Nicole Bean King

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1487351409
  Medicare reassignment Care Compare group NPD
• Temple Hudson Lazenby, M.D.

  • Obstetrics & Gynecology Physician
  • Dothan, AL
  • NPI 1144252305
  Medicare reassignment Care Compare group NPD
• Praful Patel, M.D.

  • Obstetrics & Gynecology Physician
  • Dothan, AL
  • NPI 1821020074
  Medicare reassignment Care Compare group NPD
• Jonathan Todd Scott, M.D.

  • Obstetrics & Gynecology Physician
  • Dothan, AL
  • NPI 1326224254
  Medicare reassignment Care Compare group NPD
• Walter Clark Young, M.D.

  • Obstetrics & Gynecology Physician
  • Dothan, AL
  • NPI 1770515868
  Medicare reassignment NPD
• Lea Nichole Maddox, D.O.

  • Obstetrics Physician
  • Clinton Township, MI
  • NPI 1396276663

  AL

  Medicare reassignment NPD
• Jonathan Paul Payne, MD

  • Obstetrics & Gynecology Physician
  • Albany, GA
  • NPI 1073792388

  AL, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1568470896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013007",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013007",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S MEDICAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "334-793-3900"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528600150",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Wisdom, CRNP
• Steven Dwayne Wise, M.D.
• Cindy Womack
• Shannon Richard Womack
• Women's Healthcare of Dothan, PC
• Women's Wellness Center of Dothan, LLC
• Womens Healthcare of Dothan PC
• Womens Therapy and Wellness Company (Wiregrass Therapy and Wellness Company)
• Alexis Fowler Wood, C.R.N.P.
• Christopher L Wood

• Obstetrics & Gynecology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.