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

Wiregrass Clinic LLC

Organization Surgery Physician · NPI 1497427199

Wiregrass Clinic LLC is a Surgery Physician in Dothan, Alabama. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4300 W Main St Ste 14
Dothan, AL 36305-1311
Phone: (334) 944-7015
Fax: (334) 944-7019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1497427199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr Dir Prov Enrollment & Onboarding · (615) 465-3334
NPI enumeratedSeptember 30, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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