WIREGRASS MEDICAL ASSOCIATES 2 LLC
NPI 1457898983
Internal Medicine in Dothan, AL
NPI Status: Active since January 23, 2017
Contact Information
2431 W MAIN ST
STE 1102
DOTHAN, AL
ZIP 36301
Phone: (334) 699-5780
Fax: (334) 699-5786
- Organization
- Internal Medicine
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 01D1087572
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 08-05-2026
About WIREGRASS MEDICAL ASSOCIATES 2 LLC
This page provides the complete NPI Profile along with additional information for Wiregrass Medical Associates 2 Llc, an internist established in Dothan, Alabama operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1457898983 assigned on January 2017. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kenneth W Harris Md (Owner)
- NPI
- 1457898983
- Provider Name
- WIREGRASS MEDICAL ASSOCIATES 2 LLC
- Entity Type
- Organization
- Location Address
- 2431 W MAIN ST STE 1102 DOTHAN, AL 36301
- Location Phone
- (334) 699-5780
- Location Fax
- (334) 699-5786
- Mailing Address
- 2431 W MAIN ST STE 1102 DOTHAN, AL 36301
- Mailing Phone
- (334) 699-5780
- Mailing Fax
- (334) 699-5786
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2017
- Last Update Date
- 01-23-2017
- Code Navigator
An internist like Wiregrass Medical Associates 2 Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Wiregrass Medical Associates 2 Llc is a medicare supplier with PTAN 20415479 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Heat & Cold Applications or Hospital Beds (Electric) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Patient Lifts or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Ventilators Accessories and/or Supplies or Surgical Dressings.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20415479
- Accepts Medicare Assignment
- NO
- Specialities List
- Medical Supply Company Other.
- Provider Type List
- OXYGEN & EQUIPMENT.
- Competitive Bidding
- NO
Supplies List
- Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
- Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
- (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Patient Lifts - Ceiling lifts, Slings
- Seat Lift Mechanisms - Lift chair
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
- Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
- Tracheotomy Supplies - Tracheostomy care kits
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
- Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
- Respiratory Assist Devices -
- Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
- Ventilators Accessories and/or Supplies - Volume control ventilator, Pressure support ventilator
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 01D1087572
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- August 06, 2024
- Certificate Expiration Date
- August 05, 2026
- Laboratory Director
- OLAWALE OSUNSANYA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wiregrass Medical Associates 2 Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 5 | 7 | 8 | 9 | 8 | 9 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 16 | 9 | 16 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 1 + 6 + 9 + 1 + 6 + 9 + 1 + 6 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1457898983 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255321279 | STEVEN F JOHNSON M. D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2431 W MAIN ST STE 1001 DOTHAN, AL 36301 (334) 794-2825 |
| 1356331201 | JOHN V MANNING JR. P.A. - C Individual | Physician Assistant (Surgical) | 2431 W MAIN ST STE 1001 DOTHAN, AL 36301 (334) 794-2825 |
| 1538159496 | JOSE M GONZALEZ P. A. Individual | Physician Assistant (Surgical) | 2431 W MAIN ST STE 1001 DOTHAN, AL 36301 (334) 794-2825 |
| 1295711760 | DR. KIRBY LAMAR HART M.D. Individual | Obstetrics & Gynecology (Gynecology) | 2431 W MAIN ST STE 501 DOTHAN, AL 36301 (334) 793-9222 |
| 1033157847 | MRS. TERRY DENISE BRADLEY MS, LPC Individual | Counselor (Professional) | 2431 W MAIN ST SUITE 603 DOTHAN, AL 36301 (334) 673-8869 |
| 1588603625 | JOHN J FLOWERS D.M.D. Individual | Dentist (Pediatric Dentistry) | 2431 W MAIN ST SUITE 201 DOTHAN, AL 36301 (334) 793-9635 |
| 1841213360 | DR. PHILLIP HUDSON MERRILL DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 2431 W MAIN ST SUITE 701 DOTHAN, AL 36301 (334) 793-9467 |
| 1902915911 | MR. JENNIFER LEIGH BRANCH RPH Individual | Pharmacist | 2431 W MAIN ST DOTHAN, AL 36301 (334) 794-1126 |
| 1922189984 | MR. CHARLES WALES MOULTHROP DMD Individual | Dentist (General Practice) | 2431 W MAIN ST SUITE 601 DOTHAN, AL 36301 (334) 793-3651 |
| 1346303591 | DR. GEOFFREY MATHEWS GAUNT D.M.D. Individual | Dentist (General Practice) | 2431 W MAIN ST SUITE 401 DOTHAN, AL 36301 (334) 673-7440 |
| 1255541090 | DR. MICHAEL SCOTT HELMS D.M.D. Individual | Dentist (General Practice) | 2431 W MAIN ST STE. 601 DOTHAN, AL 36301 (334) 793-3651 |
| 1366634438 | DR. CELIA J. STUMP D.M.D. Individual | Dentist (General Practice) | 2431 W MAIN ST SUITE 402 DOTHAN, AL 36301 (334) 793-5334 |
| 1063686962 | L. TERRY PYNES Organization | Specialist | 2431 W MAIN ST STE 501 DOTHAN, AL 36301 (334) 793-9222 |
| 1235438748 | DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A. Organization | Dermatology | 2431 W MAIN ST SUITE 501 DOTHAN, AL 36301 (334) 793-9222 |
| 1821383035 | DOTHAN COSMETIC DENTISTRY, PC Organization | Dentist (General Practice) | 2431 W MAIN ST SUITE 401 DOTHAN, AL 36301 (334) 673-7440 |
| 1376800458 | KARINA JEAN PARKER M.S., L.P.C. Individual | Counselor (Mental Health) | 2431 W MAIN ST SUITE 603 DOTHAN, AL 36301 (334) 673-8869 |
| 1003834672 | SOUTHEASTERN CARDIOVASCULAR ASSOCIATES PC Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2431 W MAIN ST SUITE 1001 DOTHAN, AL 36301 (334) 794-2825 |
| 1881016491 | MILLER ORTHODONTICS, LLC Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2431 W MAIN ST SUITE 303 DOTHAN, AL 36301 (334) 446-0428 |
| 1366987208 | LYNETTE M ELKINS CRNP Individual | Nurse Practitioner (Family) | 2431 W MAIN ST SUITE 1102 DOTHAN, AL 36301 (334) 699-5780 |
| 1518055334 | RANDALL WAYNE NICHOLS M.D. Individual | Surgery | 2431 W MAIN ST SUITE 1001 DOTHAN, AL 36301 (334) 677-6220 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457898983, enumerated in the NPI registry as an "organization" on January 23, 2017
The provider is located at 2431 W Main St Ste 1102 Dothan, Al 36301 and the phone number is (334) 699-5780
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 01D1087572 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 23, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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