Organization Active NPI

Wiregrass Infectious Diseases LLC

  • Infectious Disease Physician
  • Dothan, AL
National Provider Identifier
1851245807
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
WIREGRASS INFECTIOUS DISEASES LLC
Practice address
3124 W Main St Ste 3
Dothan, AL 36305-1181
Phone
(334) 803-8552
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Rayen-Ayoub Chakra, MDNPI 1033608765
Title
Owner
Phone
(334) 803-8552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

3124 W Main St Ste 3
Dothan, AL 36305-1181

Mailing address

3124 W Main St Ste 3
Dothan, AL 36305-1181
Phone (334) 803-8552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260515000477 AL Part B Supplier - Clinic/Group Practice 6305315755 Receives reassigned benefits from 1 practitioner
Practice locations: Dothan, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2345180Wiregrass Infectious Diseases, LLC3124 W Main St Ste 3, Dothan, AL 36305Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1851245807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 W MAIN ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051181",
            "telephone_number": "334-803-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 W MAIN ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051181",
            "telephone_number": "334-803-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS INFECTIOUS DISEASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "CHAKRA",
        "authorized_official_first_name": "RAYEN-AYOUB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-803-8552",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.