Individual provider Active NPI

Matthew D Starling

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1710748652
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1240165 Issued in AL
Practice address
2826 Ross Clark Cir Ste 103
Dothan, AL 36301-2017
Phone
(334) 689-3510
NPI assigned
Jan 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1240165 AL Primary

Addresses

Primary practice location

2826 Ross Clark Cir Ste 103
Dothan, AL 36301-2017

Mailing address

3411 Highway 105
Ozark, AL 36360-8368
Phone (334) 689-3510

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
I20240318001004 AL Practitioner - Nurse Practitioner 5799122404

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

210 S Main St
Crestview, FL 32536-3737

930 Mar Walt Dr Unit C
Fort Walton Beach, FL 32547-6706

930 Mar Walt Drive
Unit C
Fort Walton Beach, FL 32547-6706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1240165ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Pain & Wellness LLC CurrentSince Mar 11, 2024 Accepting new patients
Dynamic Pain & Wellness LLC CurrentSince Mar 11, 2024 Accepting new patients

Locations

2826 Ross Clark Cir
Ste 103
Dothan, AL 36301
Phone (251) 308-9800

1924K Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 308-9800

930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1710748652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 HIGHWAY 105",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363608368",
            "telephone_number": "334-689-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 ROSS CLARK CIR STE 103",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012017",
            "telephone_number": "334-689-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARLING",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F1240165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.