Active NPI
Edgewater Pain and Wellness LLC
- Interventional Pain Medicine Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sammie O'Neal Searcy Jr.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2319589 | Edgewater Pain and Wellness | Certificate of waiver | Mar 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Anesthesiology Physician
- Dothan, AL
- NPI 1194229641
-
- Family Nurse Practitioner
- Dothan, AL
- NPI 1699364141
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.