Individual provider Active NPI

Stephanie Head, APRN

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1790123776
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9361506 Issued in FL
Practice address
4300 W Main St Ste 41
Dothan, AL 36305-1318
Phone
(334) 944-7095
Fax
(334) 793-6460
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 1-101091 AL
Family Nurse Practitioner 363LF0000X ARNP9361506 FL Primary

Addresses

Primary practice location

4300 W Main St Ste 41
Dothan, AL 36305-1318

Mailing address

PO Box 6599
Dothan, AL 36302-6599
Phone (334) 793-5074

Other practice location 1

4896 Highway 90 Ste A
Marianna, FL 32446-7840
Phone (850) 526-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.head.5@3326.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131107001694 AL Practitioner - Nurse Practitioner 2466687967 Reassigns benefits to 1 organization
I20240321002151 FL Practitioner - Nurse Practitioner 2466687967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pancare of Florida, IncGroup PAC ID 3476574229, 30 clinicians

Practice addresses (Care Compare)

2235 E 15TH St
Panama City, FL 32405-6023
Phone (850) 747-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9361506FLMDFamily Nurse Practitioner
1-101091ALMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Enterprise Urgent Care CurrentSince Feb 26, 2020 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Mar 18, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Ivycreek of Elmore LLC PastSince Jul 6, 2020 Accepting new patients

Locations

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

4896 Highway 90
Ste A
Marianna, FL 32446
Phone (850) 526-6700

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

Interoperability endpoints

  • Direct secure messaging: stephanie.head.5@3326.direct.athenahealth.com

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1790123776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6599",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026599",
            "telephone_number": "334-793-5074",
            "fax_number": "334-793-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 41",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051318",
            "telephone_number": "334-944-7095",
            "fax_number": "334-793-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4896 Highway 90 Ste A",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324467840",
            "country_code": "US",
            "telephone_number": "850-526-6700",
            "fax_number": "850-526-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEAD",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AL",
            "license": "1-101091",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9361506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.head.5@3326.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "4300 W Main St Ste 41",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363051318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.