NPIMap

Organization Active NPI

Wiregrass Wound & Amputation Prevention Center, LLC

  • Surgery Physician
  • Bonifay, FL
National Provider Identifier
1669380176
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC
Practice address
3122 Southride LN
Bonifay, FL 32425-3325
Phone
(334) 305-2085
NPI assigned
Aug 28, 2026
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
J. Douglas Duke IINPI 1134395072
Title
Owner
Phone
(334) 334-3085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

3122 Southride LN
Bonifay, FL 32425-3325

Mailing address

3122 Southride LN
Bonifay, FL 32425-3325

National Provider Directory

National Provider Directory
Tax ID family
Wiregrass Wound Amputation Prevention Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1669380176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 SOUTHRIDE LN",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 SOUTHRIDE LN",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324253325",
            "telephone_number": "334-305-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-334-3085",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonifay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.