Extended Care Medical Associates LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EXTENDED CARE MEDICAL ASSOCIATES LLC

Practice address

256 Honeysuckle Rd Ste 20
Dothan, AL 36305-1168

Phone

(334) 699-3320

Fax

(334) 699-3342

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Stephen Sanders Jr., MDNPI 1174790299

Title

Owner / MD

Phone

(334) 699-3320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Bobby Stephen Sanders Jr., MD, MPH

  • Family Medicine Physician
  • Dothan, AL
  • NPI 1174790299

  FL

  Medicare reassignment Care Compare group NPD Authorized official
• Jesslyn Smith

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1518510650
  Medicare reassignment Care Compare group NPD
• Nancy C Turnham, DNP

  • Nurse Practitioner
  • Dothan, AL
  • NPI 1023087228

  FL

  Medicare reassignment Care Compare group NPD
• John H Burgess, MD

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1275502486
  Medicare reassignment NPD
• Sarah Oblack

  • Family Nurse Practitioner
  • Montgomery, AL
  • NPI 1255146262
  Medicare reassignment NPD
• Amy Roselius

  • Adult Health Nurse Practitioner
  • Dothan, AL
  • NPI 1184090359
  Medicare reassignment NPD
• Allison D Moore, CRNP

  • Nurse Practitioner
  • Dothan, AL
  • NPI 1548229602
  NPD

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1902182371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6289",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026289",
            "telephone_number": "334-699-3320",
            "fax_number": "334-699-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 HONEYSUCKLE RD STE 20",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051168",
            "telephone_number": "334-699-3320",
            "fax_number": "334-699-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Honeysuckle Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363051168",
            "country_code": "US",
            "telephone_number": "334-699-3320",
            "fax_number": "334-699-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXTENDED CARE MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER / MD",
        "authorized_official_telephone_number": "334-699-3320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Ann Ethridge, CRNP, FNP
• James Anthony Eubanks Jr., MSPT, OCS
• Clinton Wilkinson Evans, M.D., D.M.D.
• David H Evans, MD
• John Evans Jr., NURSE PRACTITIONER
• Extendicare, Inc
• Eye Care Associates of the Southeast, P.C. (Eye Care Associates)
• Eye Doctors Office, Inc
• Eye Partners PC
• Eye Partners PC

• Family Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.