Individual provider Active NPI

Dwight Edward Hooper, M.D.

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
National Provider Identifier
1871564096
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18618 Issued in AL
Practice address
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone
(205) 930-2456
Fax
(205) 930-2469
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 18618 AL Primary

Addresses

Primary practice location

810 Saint Vincents Dr
Birmingham, AL 35205-1601

Mailing address

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 930-2456

Other practice location 1

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5714

Other practice location 2

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5714

Other identifiers 2

IdentifierTypeStateIssuer
009979695MedicaidAL
051500989MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150617001535 FL Practitioner - Obstetrics/Gynecology 8325099336 Reassigns benefits to 2 organizations
I20210325002025 GA Practitioner - Obstetrics/Gynecology 8325099336 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18618ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 25, 2018 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jan 31, 2023 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 1, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 17, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Sep 25, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 26, 2015 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Tallahassee Memorial Healthcare Inc Obstetrics & Gynecology CurrentSince Jun 26, 2015 Accepting new patients
Tift Regional Health System Inc. Past Accepting new patients
New Women's Health Center, LLC Past Accepting new patients
Gardendale Physician Associates, P.C. PastSince Jan 8, 2018 Accepting new patients
Womens Center for Advanced Surgery Inc Past Accepting new patients
Douglas Hospital, Inc. Past Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1301 Hodges Dr
Tallahassee, FL 32308
Phone (850) 431-5430

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871564096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-930-2456",
            "fax_number": "205-930-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-930-2456",
            "fax_number": "205-930-2469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084614",
            "country_code": "US",
            "telephone_number": "850-431-5714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084614",
            "country_code": "US",
            "telephone_number": "850-431-5714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "DWIGHT",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "18618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009979695",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051500989",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.