Wiregrass Clinic LLC
NPI 1497427199ActiveOrganization· Surgery· Dothan, AL
Surgery in Dothan, Alabama, registered in NPPES in September 2021. The authorized official on file is Jennifer L. Jackson, Sr Dir Prov Enrollment & Onboarding.
Overview
| NPI | 1497427199 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2021 |
| Last updated in NPPES | Oct 8, 2021 |
| Certified by provider | Oct 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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