Wiregrass Radiation Oncology PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

WIREGRASS RADIATION ONCOLOGY PC

Practice address

1108 Ross Clark Cir
Radiation Oncology
Dothan, AL 36301-3022

Phone

(334) 793-8081

Fax

(334) 793-1448

NPI assigned

Feb 28, 2007

Last updated

Nov 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jarrod B Adkison, MDNPI 1790719318

Title

Owner

Phone

(334) 699-8111

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

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.

• Jarrod B. Adkison, M.D.

  • Radiation Oncology Physician
  • Dothan, AL
  • NPI 1790719318
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1871620484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DEPT. 2131",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462131",
            "telephone_number": "334-793-8081",
            "fax_number": "334-793-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "address_2": "RADIATION ONCOLOGY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-793-8081",
            "fax_number": "334-793-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "ADKISON",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-699-8111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DOTHAN",
            "identifier": "511-98066",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917150",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiregrass Medical Holdings LLC (Wiregrass HME)
• Wiregrass Medical Holdings LLC
• Wiregrass Mental Health Board Inc (SpectraCare)
• Wiregrass Neurology, PC
• Wiregrass Orthodontic Specialists
• Wiregrass Rehabilitation Center Inc
• Wiregrass Surgical Associates, P.C.
• Wiregrass Therapy Associates, LLC
• Wiregrass Therapy Solutions Inc
• Wiregrass Urology, PC

• Radiation Oncology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Radiation Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.