Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason A. Zacks, MD PC

Organization Primary Care Clinic/Center · NPI 1619163078

Jason A. Zacks, MD PC is a Primary Care Clinic/Center in Dothan, Alabama. Licensed in Alabama. Registered with an NPI since 2007.

Licensed in
AL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1920 Fairview Ave
Dothan, AL 36301-3008
Phone: (334) 678-1400
Fax: (334) 678-1432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence G64013 (AL)

Record details

NPI number1619163078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenda Jones — Office Manager · (334) 678-1400
NPI enumeratedSeptember 19, 2007
Last updated in NPPESSeptember 19, 2007
Mailing address1920 Fairview Ave, Dothan, AL 36301-3008

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