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Wiregrass Clinic LLC

Family Medicine Physician in Dothan, AL · enumerated 2021 · authorized official Jennifer Jackson, Sr Dir Prov Enrollment & Onboarding.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851063432

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Registry record

Entity type Organization (Type 2)
Legal business name Wiregrass Clinic LLC
Parent organization Wiregrass Clinic LLC
Practice address 4300 W Main St Ste 405, Dothan, AL, 36305
Phone (334) 944-7073
Fax (334) 944-7058
Enumeration date Oct 1, 2021
Last updated in NPPES Oct 1, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jennifer Jackson
Title Sr Dir Prov Enrollment & Onboarding
Phone (615) 465-3334

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.

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Frequently asked questions

What is the NPI number for Wiregrass Clinic LLC?
The NPI for Wiregrass Clinic LLC is 1851063432, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Wiregrass Clinic LLC?
NPPES lists Jennifer Jackson (Sr Dir Prov Enrollment & Onboarding) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-01.