Individual provider Active NPI

Kenneth Eugene Farmer Jr., M.D.

  • Obstetrics Physician
  • Dothan, AL
National Provider Identifier
1962458380
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
22257 Issued in AL
Practice address
1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007
Phone
(334) 793-3900
Fax
(334) 793-5227
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 22257 AL Primary

Addresses

Primary practice location

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007

Mailing address

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3007
Phone (334) 793-3900

Other identifiers 3

IdentifierTypeStateIssuer
009941761MedicaidAL
51539130OtherALBCBS OF ALABAMA
51539129OtherALBCBS OF ALABAMA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114001209 AL Practitioner - Obstetrics/Gynecology 7012935711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women's Medical Center, PCGroup PAC ID 7416976188, 7 clinicians

Practice addresses (Care Compare)

1118 Ross Clark Cir
Suite 600
Dothan, AL 36301-3102
Phone (334) 793-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22257ALMDObstetrics Physician
35018TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Medical Center, PC CurrentSince Mar 27, 2007 Accepting new patients
Houston County Healthcare Authority Past Accepting new patients

Locations

1118 Ross Clark Cir
Ste 60
Dothan, AL 36301

1118 Ross Clark Cir
Ste 600
Dothan, AL 36301
Phone (334) 793-3900

Interoperability endpoints

  • Direct secure messaging: kenneth.farmer.1@20335.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20335/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1962458380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013007",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR",
            "address_2": "SUITE 600",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013007",
            "telephone_number": "334-793-3900",
            "fax_number": "334-793-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AL",
            "license": "22257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941761",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51539130",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51539129",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.