| Dr Nelson Gwinn Iii, MD | |
|
1150 Ross Clark Cir, Dothan, AL 36301-3022 | |
| (334) 712-1929 | |
| (334) 712-2799 |
| Full Name | Dr Nelson Gwinn Iii |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 40 Years |
| Location | 1150 Ross Clark Cir, Dothan, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922087071 | NPI | - | NPPES |
| 000088713 | Medicaid | AL | |
| 009941307 | Medicaid | AL | |
| 000055299 | Medicaid | AL | |
| 051088713 | Other | AL | BLUE CROSS |
| 051055299 | Other | AL | BLUE CROSS |
| 051538730 | Other | AL | BLUE CROSS |
| 61699 | Other | FL | BLUE CROSS |
| 529301110 | Medicaid | AL | |
| 258388700 | Medicaid | FL | |
| 631087996 | Other | TAX ID# | |
| 00459225B | Medicaid | GA | |
| 051540195 | Other | AL | BLUE CROSS |
| 054182600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 15644 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Donalsonville Hospital Inc | Donalsonville, GA | Hospital |
| Miller County Hospital | Colquitt, GA | Hospital |
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Cardiology Clinic Inc. | 9234111899 | 5 |
| Southeast Cardiology Clinic Inc. | 9234111899 | 5 |
| The Hospital Authority Of Miller County | 0244224947 | 29 |
| Donalsonville Hospital Inc | 7113919820 | 51 |
| Southeast Cardiology Clinic Inc. | 9234111899 | 5 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Entity Name | Southeast Cardiology Clinic Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285790915 PECOS PAC ID: 9234111899 Enrollment ID: O20050621001149 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nelson Gwinn Iii, MD 1150 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 712-1929 | Dr Nelson Gwinn Iii, MD 1150 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 712-1929 |
Meagan Self Hoggle, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203 | |
Parks Winfield Pratt Iii, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St, Suite 102, Dothan, AL 36305 Phone: 334-793-9564 Fax: 334-671-8907 | |
Mr. Rodney K Beauchamp, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 200 Parkwest Cir Ste 2, Dothan, AL 36303 Phone: 334-699-2004 | |
Brian Reynolds Sinclair, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1450 Ross Clark Cir Ste 400, Dothan, AL 36301 Phone: 334-305-0400 Fax: 334-305-0401 | |
Dr. Olawale Mayokun Osunsanya, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1763 E Main St, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
Nikki Ilona Broussard, CRNP Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 337-793-3319 | |
Jeffrey John Crittenden, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 Fax: 334-836-1888 |