NPIMap

Organization Active NPI

Gut PC

  • Anesthesiology Physician
  • Dothan, AL
National Provider Identifier
1790201903
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GUT PC
Practice address
1450 Ross Clark Cir Ste 400
Dothan, AL 36301-4770
Phone
(844) 793-1380
NPI assigned
Aug 18, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Andy Franklin
Title
Administrator
Phone
(334) 836-1052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1450 Ross Clark Cir Ste 400
Dothan, AL 36301-4770

Mailing address

480 Honeysuckle Rd
Dothan, AL 36305-1156

Other practice location 1

480 Honeysuckle Rd
Dothan, AL 36305-1156
Phone (844) 793-1380

Other names 1

  • Digestive Health Specialist of the Southeast Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050707000149 AL Part B Supplier - Clinic/Group Practice 3375589799 Receives reassigned benefits from 75 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dothan, AL; Enterprise, AL; Mobile, AL; Ozark, AL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Gut PC

    dba Digestive Health Specialist of the Southeast

    • Gastroenterology Physician
    • Dothan, AL
    • NPI 1073566006

    O20050707000149

    Same enrollment

National Provider Directory

National Provider Directory

Locations

265 Medical Park Blvd
Dothan, AL 36301
Phone (334) 305-0112

614 N Main St
Ste A
Enterprise, AL 36330
Phone (334) 489-4244

3601 Springhill Business Park
Ste 201
Mobile, AL 36608
Phone (251) 873-6192

2126 W Roy Parker Rd
Ste 202
Ozark, AL 36360
Phone (334) 443-0203

Practitioners & affiliated clinicians

Practitioners 74

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.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1790201903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HONEYSUCKLE RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROSS CLARK CIR STE 400",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014770",
            "telephone_number": "844-793-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Honeysuckle Rd",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051156",
            "country_code": "US",
            "telephone_number": "844-793-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "334-836-1052"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digestive Health Specialist of the Southeast",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 17, 2018; 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.