Southern Alabama Surgery Center Llc - Medicare Primary Care in Dothan, AL

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Southern Alabama Surgery Center Llc is a medicare enrolled primary clinic (Clinic/center - Ambulatory Surgical) in Dothan, Alabama. The current practice location for Southern Alabama Surgery Center Llc is 2800 Ross Clark Cir, Suite 3, Dothan, Alabama. For appointments, you can reach them via phone at (334) 793-3411. The mailing address for Southern Alabama Surgery Center Llc is 2800 Ross Clark Circle, Suite 3, Dothan, Alabama and phone number is (334) 793-3411.

Southern Alabama Surgery Center Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1346349164. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (334) 793-3411.

Contact Information

Southern Alabama Surgery Center Llc
2800 Ross Clark Cir
Suite 3
Dothan
AL 36301-2040
(334) 793-3411
(334) 712-0227

Map and Direction


Primary Care Clinic Profile

Full NameSouthern Alabama Surgery Center Llc
SpecialityClinic/Center
Location2800 Ross Clark Cir, Dothan, Alabama
Authorized Official Name and PositionSharron Alane Byrd (ADMINISTER)
Authorized Official Contact3347933411
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Alabama Surgery Center Llc
2800 Ross Clark Circle
Suite 3
Dothan
AL 36301

Ph: (334) 793-3411		Southern Alabama Surgery Center Llc
2800 Ross Clark Cir
Suite 3
Dothan
AL 36301-2040

Ph: (334) 793-3411

NPI Details:

NPI Number1346349164
Provider Enumeration Date09/21/2006
Last Update Date10/23/2014

Medicare PECOS Information:

Medicare PECOS PAC ID2062461460
Medicare Enrollment IDO20050112000767

Medical Identifiers

Medical identifiers for Southern Alabama Surgery Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346349164NPI-NPPES
03119876AMedicaidGA
128616MedicaidAL
000902316AMedicaidGA
010306OtherALBLUE CROSS BLUE SHIELD
062936700MedicaidFL
ASC0060CMedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 12124 (Alabama)Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Secondary
261QA1903XClinic/center - Ambulatory Surgical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Alabama Surgery Center Llc acts as a billing entity for following providers:
Provider NameVernon L Pruitt
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1912986886
PECOS PAC ID: 9335048594
Enrollment ID: I20040107000257
Provider NameChang B Yu
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801853668
PECOS PAC ID: 7113815333
Enrollment ID: I20040309000904
Provider NameJean A Robbins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063455491
PECOS PAC ID: 4385535327
Enrollment ID: I20040322000292
Provider NameJames R Tucker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346254943
PECOS PAC ID: 5890787048
Enrollment ID: I20040330001628
Provider NameWilliam Wade Sharp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073527883
PECOS PAC ID: 2466445556
Enrollment ID: I20040405001610
Provider NameRobert Clark
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1992766703
PECOS PAC ID: 4789678095
Enrollment ID: I20040412000033
Provider NameStephen Ezzell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164474623
PECOS PAC ID: 1456341809
Enrollment ID: I20040517000793
Provider NameJeffrey T Kirkland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326005323
PECOS PAC ID: 6901858034
Enrollment ID: I20050216000676
Provider NameChad M Chandler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467417162
PECOS PAC ID: 1850343930
Enrollment ID: I20050216000973
Provider NameJohn G Lewis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326088667
PECOS PAC ID: 8022062538
Enrollment ID: I20050308000829
Provider NameJody R Neal
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1669436697
PECOS PAC ID: 8527009232
Enrollment ID: I20050512000556
Provider NameLindey F Ward
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1679534481
PECOS PAC ID: 4688619059
Enrollment ID: I20050627000217
Provider NameElizabeth A Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609824531
PECOS PAC ID: 0840201281
Enrollment ID: I20060522000017
Provider NameBrian E Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851349245
PECOS PAC ID: 0840202495
Enrollment ID: I20060622000214
Provider NameCatherine E Beaver
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1790735678
PECOS PAC ID: 8123022027
Enrollment ID: I20060907000401
Provider NameFrances G Middleton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205815172
PECOS PAC ID: 8729083183
Enrollment ID: I20060919000343
Provider NameJimmy W Dunn
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1750357828
PECOS PAC ID: 7810992666
Enrollment ID: I20060928000586
Provider NameSandy L Griffin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114931144
PECOS PAC ID: 0840297651
Enrollment ID: I20061108000336
Provider NameRonald L. Hedderich
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1891725529
PECOS PAC ID: 8628962321
Enrollment ID: I20070102000229
Provider NameCornelia Glenn
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366586604
PECOS PAC ID: 0648377325
Enrollment ID: I20070514000467
Provider NameRomualdo B Requijo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225173966
PECOS PAC ID: 8820195522
Enrollment ID: I20070514000570
Provider NameWendy A Windham
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629035126
PECOS PAC ID: 8325122724
Enrollment ID: I20080225000143
Provider NameMary P Milner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154507127
PECOS PAC ID: 4385720275
Enrollment ID: I20080318000254
Provider NameRonald W Holland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275701658
PECOS PAC ID: 8224115811
Enrollment ID: I20080407000533
Provider NameBrit M Lovvorn
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1710109111
PECOS PAC ID: 9234216722
Enrollment ID: I20080408000694
Provider NameKimberly N Trammell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730366980
PECOS PAC ID: 8921185067
Enrollment ID: I20080414000324
Provider NameNatalie E Wozniak
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1528244522
PECOS PAC ID: 6305924671
Enrollment ID: I20080428000245
Provider NameCraig Nordhues
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1376528414
PECOS PAC ID: 7618871609
Enrollment ID: I20080604000667
Provider NameKelly P Hyde
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1366516098
PECOS PAC ID: 4981776556
Enrollment ID: I20080627000006
Provider NameLisa M Wallace
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548439375
PECOS PAC ID: 0749366276
Enrollment ID: I20080918000069
Provider NameKyle M Jones
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1033198122
PECOS PAC ID: 2668531385
Enrollment ID: I20081110000270
Provider NameBayer P Cheng
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1750360640
PECOS PAC ID: 8123180833
Enrollment ID: I20081215000165
Provider NameJeffrey Plagenhoef
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1548249410
PECOS PAC ID: 5193826899
Enrollment ID: I20081215000174
Provider NameLewis A Hunt
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1437138310
PECOS PAC ID: 7012079726
Enrollment ID: I20081215000188
Provider NameRhonda Mcfarland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821055807
PECOS PAC ID: 8527121342
Enrollment ID: I20090106000062
Provider NameHolly M Dunnington
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1891932513
PECOS PAC ID: 6800943432
Enrollment ID: I20090416000265
Provider NameBecky R Cazenave
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1477792547
PECOS PAC ID: 4981753332
Enrollment ID: I20090514000436
Provider NameEdward N Brin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760412688
PECOS PAC ID: 7113977430
Enrollment ID: I20090612000039
Provider NameLucas A Trotter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710217989
PECOS PAC ID: 8729113535
Enrollment ID: I20100318000686
Provider NameMichael A Cosgrove
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1750459616
PECOS PAC ID: 6002945623
Enrollment ID: I20100520000042
Provider NameBenjamin B Tomlin
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1679803696
PECOS PAC ID: 6901935303
Enrollment ID: I20100524000385
Provider NameCandace R Grantham
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366774895
PECOS PAC ID: 7012046832
Enrollment ID: I20100603000389
Provider NameJohn M Marchese
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1194753392
PECOS PAC ID: 8820287006
Enrollment ID: I20110105000028
Provider NamePamela Averett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407817331
PECOS PAC ID: 5991985251
Enrollment ID: I20110203001160
Provider NameTosha Chandler
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982909172
PECOS PAC ID: 5991985947
Enrollment ID: I20110208000330
Provider NameWilma J Watt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699736496
PECOS PAC ID: 0840470878
Enrollment ID: I20110211000926
Provider NameChristopher Thomas Lambert
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1962402032
PECOS PAC ID: 5496650632
Enrollment ID: I20110405000266
Provider NameBrittany A Outlaw
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1710256334
PECOS PAC ID: 4688841174
Enrollment ID: I20120124000879
Provider NamePamela R Defleron
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831460765
PECOS PAC ID: 4284892878
Enrollment ID: I20120229000261
Provider NameKerry L Varner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407127624
PECOS PAC ID: 4082873187
Enrollment ID: I20120308000854
Provider NameRobin D Simmons
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326009135
PECOS PAC ID: 3870756026
Enrollment ID: I20120525000220
Provider NameRalph M Weatherford
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1568627842
PECOS PAC ID: 5294999538
Enrollment ID: I20120618000111
Provider NameStephen G Harrell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427392091
PECOS PAC ID: 5092960302
Enrollment ID: I20130312000143
Provider NameAmanda Rae Norsworthy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922445246
PECOS PAC ID: 8921249608
Enrollment ID: I20130905000474
Provider NameKalen Kosik
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770905473
PECOS PAC ID: 9436380789
Enrollment ID: I20140329000170
Provider NameIdi N Allen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1700029402
PECOS PAC ID: 2264570126
Enrollment ID: I20140430001534
Provider NamePatrick F Lux
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023449394
PECOS PAC ID: 0244453330
Enrollment ID: I20140516001978
Provider NameSpencer W Evenhuis
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1144510595
PECOS PAC ID: 1254578909
Enrollment ID: I20141202000343
Provider NameJohn A Heinbockel
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1578651212
PECOS PAC ID: 9032270111
Enrollment ID: I20150227001825
Provider NameBrenda H Warren
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073672119
PECOS PAC ID: 8921199563
Enrollment ID: I20150327002169
Provider NameClint T Wade
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1861782823
PECOS PAC ID: 7618113267
Enrollment ID: I20150625002400
Provider NameJohnathon Smith
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1205193067
PECOS PAC ID: 9436465234
Enrollment ID: I20150824001961
Provider NameAngela D Whatley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205226115
PECOS PAC ID: 2466752308
Enrollment ID: I20151201001475
Provider NameHailey M Mullinax Money
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972973519
PECOS PAC ID: 1658677844
Enrollment ID: I20160315000921
Provider NameAshley Swim
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699133728
PECOS PAC ID: 3678870516
Enrollment ID: I20160321001847
Provider NameMelanie C Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962949305
PECOS PAC ID: 5890070122
Enrollment ID: I20170328001837
Provider NameCarmen Ryan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770021016
PECOS PAC ID: 1254617178
Enrollment ID: I20170407001013
Provider NameJustin D Harrelson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1528505203
PECOS PAC ID: 3173800240
Enrollment ID: I20170428000493
Provider NameIvan D Sequera Sanchez
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1922363142
PECOS PAC ID: 0749427698
Enrollment ID: I20171012002981
Provider NameJeffrey Alan Kidd
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1497717276
PECOS PAC ID: 1153313192
Enrollment ID: I20171013002442
Provider NameChad Jenkins
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1255512125
PECOS PAC ID: 1759415565
Enrollment ID: I20171213001268
Provider NameMichael A Allen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023525169
PECOS PAC ID: 3678829579
Enrollment ID: I20180707000104
Provider NameMichael T Kreger
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1720407646
PECOS PAC ID: 8123374725
Enrollment ID: I20180713000697
Provider NameErnest Jay Gross
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043640840
PECOS PAC ID: 5395097539
Enrollment ID: I20181016002813
Provider NameAshley Michelle Asher
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801172234
PECOS PAC ID: 6305012121
Enrollment ID: I20220225001708
Provider NameDevin J Gullet
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942253422
PECOS PAC ID: 4486638582
Enrollment ID: I20221019000322

Reviews and Comments


Clinic/Center in Dothan, AL

Wiregrass Wound Care Consultants Llc
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Phone: 251-295-2815    Fax: 251-295-2815
Dothan Primary Care Llc
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Practice Location: 1891 Honeysuckle Rd Ste 2a, Dothan, AL 36305
Phone: 334-794-6504    Fax: 334-793-4452
Primeteam, Inc.
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Precision Wound Care Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 212 W Troy St Ste B, Dothan, AL 36303
Phone: 334-539-8418    
Houston County Healthcare Authority
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Medicare: Not Enrolled in Medicare
Practice Location: 1806 Fairview Ave, Dothan, AL 36301
Phone: 334-677-5986    Fax: 334-677-4901
Sasser Health Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3144 Ross Clark Cir, Dothan, AL 36303
Phone: 334-446-4712    
Carnes Chiropractic And Wellness Center
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Medicare: Not Enrolled in Medicare
Practice Location: 2323 W Main St Ste 109, Dothan, AL 36301
Phone: 334-794-2225    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.