Southern Clinic Pc - Medicare Primary Care in Dothan, AL

Southern Clinic Pc is a medicare enrolled primary clinic (Internal Medicine) in Dothan, Alabama. The current practice location for Southern Clinic Pc is 1901 Melba Dr, Dothan, Alabama. For appointments, you can reach them via phone at (334) 794-6611. The mailing address for Southern Clinic Pc is 1901 Melba Dr, Dothan, Alabama and phone number is (334) 794-6611.

Southern Clinic Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053410480. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 794-6611.

Contact Information

Southern Clinic Pc
1901 Melba Dr
Dothan
AL 36301-3017
(334) 794-6611
(334) 794-6614

Map and Direction


Primary Care Clinic Profile

Full NameSouthern Clinic Pc
SpecialityInternal Medicine
Location1901 Melba Dr, Dothan, Alabama
Authorized Official Name and PositionBrian Holman (OFFICE ADMINISTRATOR)
Authorized Official Contact3347946611
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Clinic Pc
1901 Melba Dr
Dothan
AL 36301-3017

Ph: (334) 794-6611
Southern Clinic Pc
1901 Melba Dr
Dothan
AL 36301-3017

Ph: (334) 794-6611

NPI Details:

NPI Number1053410480
Provider Enumeration Date09/22/2006
Last Update Date02/01/2008

Medicare PECOS Information:

Medicare PECOS PAC ID1355329269
Medicare Enrollment IDO20040708000585

Medical Identifiers

Medical identifiers for Southern Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053410480NPI-NPPES
Q684OtherALBC/BS OF ALABAMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Clinic Pc acts as a billing entity for following providers:
Provider NameOlusina M Akinduro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760451959
PECOS PAC ID: 8921096686
Enrollment ID: I20040503001278
Provider NameJeffrey M Elliott
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639138795
PECOS PAC ID: 0840278776
Enrollment ID: I20040708000710
Provider NameJesse E Morriss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063481273
PECOS PAC ID: 9830177757
Enrollment ID: I20050421000357
Provider NameShawna M Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194794370
PECOS PAC ID: 4183756455
Enrollment ID: I20100722000135
Provider NameRobert C Espy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205130499
PECOS PAC ID: 8224200225
Enrollment ID: I20111018000197
Provider NameMarien Tavarez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437335999
PECOS PAC ID: 4587732631
Enrollment ID: I20111219000677
Provider NameMelinda B Turner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922370063
PECOS PAC ID: 3870752876
Enrollment ID: I20120312000299
Provider NameTimothy R Waters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083813885
PECOS PAC ID: 9638326556
Enrollment ID: I20120829000254
Provider NameMichelle N Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922355924
PECOS PAC ID: 7810149754
Enrollment ID: I20121128000700
Provider NameCarlos S Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063851277
PECOS PAC ID: 3476796277
Enrollment ID: I20130827000105
Provider NameKimberly J Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518381854
PECOS PAC ID: 9133351984
Enrollment ID: I20140410001035
Provider NameBuddy B Stokes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003172313
PECOS PAC ID: 2062632227
Enrollment ID: I20141010000511
Provider NameSamuel J Braswell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609280494
PECOS PAC ID: 1456572460
Enrollment ID: I20141016000402
Provider NameHaley G Clements
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295143733
PECOS PAC ID: 3779704671
Enrollment ID: I20141017001201
Provider NameLeah M Mcknight-haas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922394592
PECOS PAC ID: 1052558616
Enrollment ID: I20141205001675
Provider NameAshley P Pippin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326444589
PECOS PAC ID: 9335461920
Enrollment ID: I20141210001609
Provider NameJohn Burton Calhoun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770845141
PECOS PAC ID: 9638491319
Enrollment ID: I20150805009428
Provider NameJames B Addison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679985055
PECOS PAC ID: 9133425986
Enrollment ID: I20160304000914
Provider NameJames E Goforth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154841831
PECOS PAC ID: 3971683889
Enrollment ID: I20170731002243
Provider NameTrevor Mcfarland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689104903
PECOS PAC ID: 4587937925
Enrollment ID: I20170906001659
Provider NameBrittany L Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649763640
PECOS PAC ID: 3274883327
Enrollment ID: I20180911001499
Provider NameElizabeth A Mcfarland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013551811
PECOS PAC ID: 8527494905
Enrollment ID: I20200203001465
Provider NameAshley B Maddox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730725508
PECOS PAC ID: 5193151165
Enrollment ID: I20200211001438
Provider NameBritany D Sasser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275100737
PECOS PAC ID: 8426450057
Enrollment ID: I20210706001171
Provider NameJerry Iii Wisdom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912570607
PECOS PAC ID: 6204231137
Enrollment ID: I20210816002450
Provider NameJessica N Wisdom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811628639
PECOS PAC ID: 2668855040
Enrollment ID: I20220817002758

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.