Active NPI
Jaycee Lauren Lott
- Nurse Practitioner
- Dothan, AL
National Provider Identifier
1710508353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3-002087
- Practice address
- 926 Ross Clark Circle
Dothan, AL 36303-3072 - Phone
- (229) 456-2157
- NPI assigned
- May 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN275259 | GA | |
| Nurse Practitioner | 363L00000X | 3-002087 | AL | Primary |
Addresses
Primary practice location
926 Ross Clark Circle
Dothan, AL 36303-3072
Mailing address
926 Ross Clark Circle
Dothan, AL 36303-3072
Phone (229) 456-2157
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250228000606 | AL | Practitioner - Nurse Practitioner | 9133540131 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Medical Centers Inc
Practice addresses (Care Compare)
926 Ross Clark Circle
Dothan, AL 36303-3072
Phone (334) 661-4033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3-002087 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical Centers Inc | Current | Accepting new patients | |
| Advanced Urgent Centers LLC | Current | Accepting new patients | |
| Plains Medical Center, Inc, | Past | Accepting new patients | |
| Advanced Medical Centers, LLC | Past | Accepting new patients | |
| Careconnect Health, Inc. | Past | Accepting new patients |
Locations
1785 E Main St
Dothan, AL 36301
926 Ross Clark Cir
Dothan, AL 36303
Phone (229) 456-2157
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 1063330504
-
- Internal Medicine Physician
- Crown Point, IN
- NPI 1295991008
-
- Federally Qualified Health Center (FQHC)
- Cordele, GA
- NPI 1124266499
-
- Family Medicine Physician
- Limon, CO
- NPI 1245234525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1710508353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 ROSS CLARK CIRCLE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363033072",
"telephone_number": "229-456-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 ROSS CLARK CIRCLE",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363033072",
"telephone_number": "229-456-2157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "JAYCEE",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2025-01-13",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN275259",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "3-002087",
"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 Jan 13, 2025; 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.