MR. JEFFREY TODD NORRIS (NPI# 1902801517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902801517 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY TODD NORRIS |
| Credential | PA |
| Practice Address |
4300 W Main St Ste 405 Dothan AL 36305-1086 |
| Mailing Address |
Po Box 2247 Dothan AL 36302-2247 |
| Practice Telephone | 3349447073 |
| Practice Fax Number | 3347935346 |
| Mailing Telephone | 3347936573 |
| Mailing Fax Number | 3347935346 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA326 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051552529 | 05 | |
| AL | BXBS | 51512732 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073870374 | Jeffrey Michael Norris | Family Medicine | 1501 Imperial Ave, San Diego, CA 92101-7638 | 2012-04-12 |
| 1508849142 | Jeffrey P Norris | Urology | 1660 Feehanville Dr Ste 200, Mount Prospect, IL 60056-6036 | 2005-11-29 |
| Street Address |
4300 W MAIN ST STE 405 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528296118 | Joshua S. Meyer | Anesthesiology | 4300 W Main St Ste 405, Dothan, AL 36305 | 2009-06-23 |
| 1326027236 | John Jerry Marsella Jr. | Anesthesiology | 4300 W Main St Ste 405, Dothan, AL 36305 | 2006-01-10 |
| 1346245966 | David Bruce Woodham | Neurological Surgery | 4300 W Main St Ste 405, Dothan, AL 36305-1086 | 2005-06-20 |
| 1497750012 | Nicholas Frederick Voss | Neurological Surgery | 4300 W Main St Ste 405, Dothan, AL 36305-1086 | 2005-06-20 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275516825 | Dennis Jason Smoak | Physician Assistant | 2431 W Main St Ste 1001, Dothan, AL 36301-6404 | 2005-11-28 |
| 1861028607 | Richard Henry Jester | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-03-12 |
| 1811482623 | James Daniel Martin | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2018-06-25 |
| 1891206439 | Allie Sarah Alford | Physician Assistant | 106 Westside Dr, Dothan, AL 36303 | 2017-10-23 |
| 1427578970 | Dennis Wade Stewart | Physician Assistant | 4370 W Main St, Dothan, AL 36305-1056 | 2017-06-26 |
| 1992236889 | Sydney K Givens | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2017-03-23 |
| 1801333570 | Amere Hooshmand | Physician Assistant | 1500 Ross Clark Cir, Dothan, AL 36301-4754 | 2017-01-19 |
| 1912364522 | Filippo Borsellino | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2016-01-27 |
| 1255798047 | Rachel Brooks | Physician Assistant | 106 Westside Dr, Dothan, AL 36303-1908 | 2016-01-25 |
| 1235513003 | Alishia Christine Moran | Physician Assistant | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2015-07-11 |
| 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.