Individual provider Active NPI

Jaycee Lauren Lott

  • Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1710508353
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3-002087 Issued in AL
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

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 9436679834, 4 clinicians

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

LicenseStateTypeSpecialty
3-002087ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Centers Inc CurrentSince Dec 1, 2024 Accepting new patients
Advanced Urgent Centers LLC CurrentSince Jul 1, 2026 Accepting new patients
Plains Medical Center, Inc, PastSince Jan 1, 2023 Accepting new patients
Advanced Medical Centers, LLC PastSince Dec 1, 2024 Accepting new patients
Careconnect Health, Inc. PastSince Jan 1, 2023 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.

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

Verify at the official NPI Registry.