Southeastern Pediatric Associates, P.A.
Southeastern Pediatric Associates, P.A. is a healthcare organization registered as Pediatrics Physician in Dothan, AL, holding Type 2 (organization) NPI 1093907412 since 2007. The authorized official on file is S. Everett, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093907412 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeastern Pediatric Associates, P.A. |
| Practice address | 364 HONEYSUCKLE RD, Dothan, AL, 36305 |
| Phone | 3347948656 |
| Fax | 3377027047 |
| Enumeration date | 2007-08-10 |
| Last updated in NPPES | 2011-01-12 |
Authorized official
| Name | S. Everett |
|---|---|
| Title | Office Manager |
| Phone | 3347948656 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208000000X | Pediatrics Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 272658100 | Medicaid | FL | — |
| 528300110 | Medicaid | AL | — |
Copy-ready billing details
Provider: Southeastern Pediatric Associates, P.A. NPI: 1093907412 Taxonomy: 208000000X (Pediatrics Physician) Address: 364 HONEYSUCKLE RD, Dothan, AL, 36305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1447257647 | Angela Blaxton | Individual | Pediatrics Physician | Dothan, AL |
| 1194722397 | Claude Ashley | Individual | Legal Medicine | Dothan, AL |
| 1235136433 | Sarah Germanson | Individual | Pediatrics Physician | Dothan, AL |
| 1033116231 | Craig Adams | Individual | Pediatrics Physician | Dothan, AL |
| 1346247137 | Ted Williams | Individual | Legal Medicine | Dothan, AL |
| 1548267487 | Lauren Morris | Individual | Pediatrics Physician | Dothan, AL |
| 1770522955 | Darrell Carpenter | Individual | Pediatrics Physician | Dothan, AL |
| 1265534499 | John Searcy | Individual | Pediatrics Physician | Dothan, AL |
Verify this record
Cross-check NPI 1093907412 against the authoritative CMS record: view Southeastern Pediatric Associates, P.A. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Southeastern Pediatric Associates, P.A.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-12.