Individual provider Active NPI

Jeffrey Todd Norris, PA

  • Physician Assistant
  • Dothan, AL
National Provider Identifier
1902801517
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA326 Issued in AL
Practice address
4300 W Main St Ste 405
Dothan, AL 36305-1086
Phone
(334) 944-7073
Fax
(334) 793-5346
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA326 AL Primary

Addresses

Primary practice location

4300 W Main St Ste 405
Dothan, AL 36305-1086

Mailing address

PO Box 6599
Dothan, AL 36302-6599
Phone (334) 944-7073

Other identifiers 2

IdentifierTypeStateIssuer
051552529MedicaidAL
51512732OtherALBXBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeffrey.norris.1@3326.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000593 AL Practitioner - Physician Assistant 0143129064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

4300 W Main St
Dothan, AL 36305-1058

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-4613

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Resource Management of Wiregrass, LLC CurrentSince Aug 1, 2010 Accepting new patients
Meghani Medical, PC Current Accepting new patients
Professional Resource Management of Wiregrass, LLC CurrentSince Aug 1, 2010 Accepting new patients
Neuro Spine P C Past Accepting new patients
Neurological Associates of Dothan Past Accepting new patients

Locations

1865 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 712-1170

1865 Honeysuckle Rd
Ste 3
Dothan, AL 36305
Phone (334) 673-0494

1841 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 712-1170

2812 Hartford Hwy
#1
Dothan, AL 36305
Phone (334) 699-8622

1970 Andrews Ave
Ozark, AL 36360
Phone (334) 712-1170

218 Hospital Ave
#F
Ozark, AL 36360
Phone (334) 774-1555

Interoperability endpoints

  • Direct secure messaging: jeffrey.norris.1@3326.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1902801517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6599",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026599",
            "telephone_number": "334-944-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 405",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051086",
            "telephone_number": "334-944-7073",
            "fax_number": "334-793-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051552529",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "51512732",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.norris.1@3326.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena EMR",
            "address_1": "4300 W Main St Ste 405",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363051086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.