Individual provider Active NPI

Vinitaben Baldevbhai Chaudhari, FNP-C

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1750115010
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034972 Issued in FL
Practice address
3813 Ross Clark Cir Ste 300
Dothan, AL 36303-2881
Phone
(334) 479-0505
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 APRN11034972 FL Primary

Addresses

Primary practice location

3813 Ross Clark Cir Ste 300
Dothan, AL 36303-2881

Mailing address

107 Vixen CT
Dothan, AL 36305-9353
Phone (850) 272-9052

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
I20241205004251 AL Practitioner - Nurse Practitioner 5294261814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Resource Managment of Wiregrass, LLCGroup PAC ID 5698714525, 10 clinicians

Practice addresses (Care Compare)

2812 Hartford Hwy
Suite 1
Dothan, AL 36305-4927
Phone (334) 712-1170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11034972FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resource Managment of Wiregrass, LLC Current Accepting new patients
Meghani Medical, PC Current Accepting new patients
Professional Resource Management of Wiregrass, LLC CurrentSince Mar 1, 2025 Accepting new patients
Professional Resource Management of Wiregrass, LLC CurrentSince Mar 1, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 12, 2024 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 12, 2024 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1500 1st Ave N
Birmingham, AL 35203
Phone (205) 314-3433

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

2812 Hartford Hwy
#1
Dothan, AL 36305
Phone (334) 699-8622

1026 S Eufaula Ave
Eufaula, AL 36027
Phone (334) 687-5775

218 Hospital Ave
#F
Ozark, AL 36360
Phone (334) 774-1555

1970 Andrews Ave
Ozark, AL 36360
Phone (334) 712-1170

Organizations & group practices 6

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1750115010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 VIXEN CT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059353",
            "telephone_number": "850-272-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 ROSS CLARK CIR STE 300",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032881",
            "telephone_number": "334-479-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "VINITABEN",
        "middle_name": "BALDEVBHAI",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.