Wiregrass Wellness Center, LLC
NPI 1013117167ActiveOrganization· Psychiatry & Neurology, Psychiatry· Dothan, AL
Psychiatry & Neurology, Psychiatry in Dothan, Alabama, registered in NPPES in July 2007. The authorized official on file is David Kenton Strunk, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1013117167 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2007 |
| Last updated in NPPES | Apr 4, 2025 |
| Certified by provider | Apr 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | — | — |
| Psychiatry & Neurology, Addiction Medicine | 2084A0401X | — | — |
| Psychiatry & Neurology, Geriatric Psychiatry | 2084P0805X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (GA) |
|---|
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