Organization Active NPI

Edgewater Pain and Wellness LLC

  • Interventional Pain Medicine Physician
  • Dothan, AL
National Provider Identifier
1891591244
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
EDGEWATER PAIN AND WELLNESS LLC
Practice address
200 Grove Park LN Ste 640
Dothan, AL 36305-5912
Phone
(334) 333-3471
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Sammie O'Neal Searcy Jr.NPI 1194229641
Title
Ceo
Phone
(334) 699-1022

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

200 Grove Park LN Ste 640
Dothan, AL 36305-5912

Mailing address

200 Grove Park LN Ste 640
Dothan, AL 36305-5912
Phone (334) 699-1022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250312000197 AL Part B Supplier - Clinic/Group Practice 5890216469 Receives reassigned benefits from 2 practitioners
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
01D2319589Edgewater Pain and Wellness200 Grove Park Lane, Suite 640, Dothan, AL 36305Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Locations

200 Grove Park Ln
Ste 640
Dothan, AL 36305
Phone (334) 333-3471

Practitioners & affiliated clinicians

Practitioners 2

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": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1891591244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 640",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-699-1022",
            "fax_number": "334-699-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROVE PARK LN STE 640",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055912",
            "telephone_number": "334-333-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER PAIN AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "SEARCY",
        "authorized_official_first_name": "SAMMIE",
        "authorized_official_middle_name": "O'NEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-699-1022",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "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 Dec 4, 2025; 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.