SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A. (NPI# 1093907412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093907412 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A. |
| Practice Address |
364 Honeysuckle Rd Dothan AL 36305-1140 |
| Practice Telephone | 3347948656 |
| Practice Fax Number | 3377027047 |
| Mailing Telephone | 3347948656 |
| Mailing Fax Number | 3377027047 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2011-01-12 |
| Authorized Official Name | MRS. S. LUCY EVERETT (OFFICE MANAGER) |
| Authorized Official Telephone | 3347948656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 272658100 | 05 | |
| AL | 528300110 | 05 |
| Street Address |
364 HONEYSUCKLE RD |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257647 | Angela S Blaxton | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2005-07-01 |
| 1649449018 | Jenny Jackson Reid | Nurse Practitioner | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2008-02-29 |
| 1255418646 | Risha Kahlil Gatlin | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2006-11-01 |
| 1265534499 | John E. Searcy | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2006-09-01 |
| 1770522955 | Darrell Wayne Carpenter | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2006-06-05 |
| 1346247137 | Ted A Williams | Legal Medicine | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2005-07-07 |
| 1548267487 | Lauren B Morris | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2005-07-07 |
| 1194722397 | Claude T Ashley Jr. | Legal Medicine | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2005-07-01 |
| 1235136433 | Sarah W Germanson | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2005-07-01 |
| 1033116231 | Craig B Adams | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2005-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518915305 | David J Lozano | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2006-05-04 |
| 1790775807 | Aubrey Lee Scott | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2005-10-28 |
| 1518966522 | April G Beltran | Pediatrics | 418 N Foster St, Dothan, AL 36303-4545 | 2005-07-20 |
| 1447257647 | Angela S Blaxton | Pediatrics | 364 Honeysuckle Rd, Dothan, AL 36305-1140 | 2005-07-01 |
| 1134663487 | Sheridan Rop Services of Alabama, Inc. | Pediatrics | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2016-12-06 |
| 1053731216 | Kristine Campbell Sawyer | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2014-04-25 |
| 1750729737 | Heather Mckenzie Choat | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2013-06-12 |
| 1841557204 | Allison Elizabeth Walker | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2012-04-23 |
| 1407174626 | Cassandra Stein Nosser | Pediatrics | 126 Clinic Dr, Dothan, AL 36303-1980 | 2010-05-12 |
| 1730323254 | Jacob Edwards | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2009-04-28 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.