NPIMap

Organization Active NPI

Wiregrass Wound & Amputation Prevention Center, LLC

  • Surgery Physician
  • Dothan, AL
National Provider Identifier
1730756248
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC
Doing business as
Wiregrass Wound & Amputation Prevention Center, LLC
Practice address
2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone
(334) 305-2085
NPI assigned
Jun 4, 2021
Last updated
Dec 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Dr. Doug Duke II, DO
Title
President
Phone
(334) 305-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2967 Ross Clark Cir
Dothan, AL 36301-1119

Mailing address

2967 Ross Clark Cir
Dothan, AL 36301-1119
Phone (334) 305-2085

Other practice location 1

3122 Southride Ln
Bonifay, FL 32425-3325
Phone (850) 547-0011

Other practice location 2

11740 Columbia St Ste 1
Blakely, GA 39823-2574
Phone (334) 305-2085

Other names 1

  • Wiregrass Wound & Amputation Prevention Center, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210723002346 AL Part B Supplier - Clinic/Group Practice 0143623439 Receives reassigned benefits from 5 practitioners
Practice locations: Dothan, AL; Eufaula, AL
O20250304003348 GA Part B Supplier - Clinic/Group Practice 0143623439 Receives reassigned benefits from 4 practitioners
Practice locations: Blakely, GA
O20260115001430 FL Part B Supplier - Clinic/Group Practice 0143623439 Receives reassigned benefits from 2 practitioners
Practice locations: Bonifay, FL

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.

Locations

2967 Ross Clark Cir
Dothan, AL 36301
Phone (334) 305-2085

130 N Randolph Ave
#A
Eufaula, AL 36027

11740 Columbia St
Ste I
Blakely, GA 39823
Phone (229) 724-3000

Practitioners & affiliated clinicians

Practitioners 6

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": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1730756248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011119",
            "telephone_number": "334-305-2085",
            "fax_number": "229-723-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011119",
            "telephone_number": "334-305-2085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3122 Southride Ln",
            "address_purpose": "LOCATION",
            "city": "Bonifay",
            "state": "FL",
            "postal_code": "324253325",
            "country_code": "US",
            "telephone_number": "850-547-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11740 Columbia St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Blakely",
            "state": "GA",
            "postal_code": "398232574",
            "country_code": "US",
            "telephone_number": "334-305-2085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WIREGRASS WOUND & AMPUTATION PREVENTION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-305-2085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiregrass Wound & Amputation Prevention Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wiregrass Wound & Amputation Prevention Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 2025; 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.