Professional Resource Management of Wiregrass, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PROFESSIONAL RESOURCE MANAGEMENT OF WIREGRASS, LLC

Practice address

218 Hospital Ave Ste C
Ozark, AL 36360-2072

Phone

(334) 712-1170

Fax

(334) 712-1106

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Shakir R Meghani, MD

Title

Owners

Phone

(334) 712-1170

Specialties & licenses 1

Addresses

Other names 1

• OZARK SPECIALTY CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Professional Resource Management of Wiregrass, LLC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1033495221

  O20050428001294

  Same enrollment
• Professional Resource Management of Wiregrass, LLC

  • Neurology Physician
  • Dothan, AL
  • NPI 1801163506

  O20050428001294

  Same enrollment
• Professional Resource Managment of Wiregrass, LLC

  • Psychiatry Physician
  • Ozark, AL
  • NPI 1740358837

  O20050428001294

  Same enrollment

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1679840375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 HONEYSUCKLE RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054269",
            "telephone_number": "334-712-1170",
            "fax_number": "334-712-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 HOSPITAL AVE STE C",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363602072",
            "telephone_number": "334-712-1170",
            "fax_number": "334-712-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RESOURCE MANAGEMENT OF WIREGRASS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "MEGHANI",
        "authorized_official_first_name": "SHAKIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNERS",
        "authorized_official_telephone_number": "334-712-1170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OZARK SPECIALTY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandesha C Potter, RN
• Charles W. Price, D.V.M.
• Laura Pride, OTR/L
• Delores K. Pritchett
• Professional Resource Management of Wiregrass, LLC
• Professional Resource Managment of Wiregrass, LLC
• Kristy L Purvis, OTR/L
• Brooke Quinlivan, OTR
• Carol Rainwater
• Shannon S Reaves

• Psychiatry Physician in Ozark, AL
• Providers in Ozark, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.