Skip to content

Wiregrass Clinic LLC

NPI 1427728393ActiveOrganization· Psychiatry & Neurology, Neurology· Dothan, AL

Psychiatry & Neurology, Neurology in Dothan, Alabama, registered in NPPES in September 2021, part of Wiregrass Clinic LLC. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.

Overview

NPI1427728393
StatusActive
Entity typeOrganization (subpart)
Parent organizationWiregrass Clinic LLC
NPI issuedSep 14, 2021
Last updated in NPPESSep 14, 2021
Certified by providerSep 14, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Neurology Primary2084N0400X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other neurologists in Dothan

All neurologists in Alabama