RANDALL WAYNE NICHOLS (NPI# 1518055334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518055334 |
| Entity Type | Individual |
| Full Name | RANDALL WAYNE NICHOLS |
| Credential | M.D. |
| Practice Address |
2431 W Main St Suite 1001 Dothan AL 36301-1217 |
| Mailing Address |
Po Box 6188 Dothan AL 36302-6188 |
| Practice Telephone | 3346776220 |
| Practice Fax Number | 3346772206 |
| Mailing Telephone | 3346776220 |
| Mailing Fax Number | 3346772206 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9258 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529906170 | 05 | |
| GA | 00296557C | 05 | |
| FL | 069046500 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 51083586 | 01 |
| Street Address |
2431 W MAIN ST SUITE 1001 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228388 | L Terry Pynes | Specialist | 2431 W Main St, Ste 501, Dothan, AL 36301 | 2005-07-12 |
| 1457898983 | Wiregrass Medical Associates 2 LLC | Internal Medicine | 2431 W Main St, Ste 1102, Dothan, AL 36301-1217 | 2017-01-23 |
| 1366987208 | Lynette M Elkins | Nurse Practitioner | 2431 W Main St, Suite 1102, Dothan, AL 36301-1217 | 2017-01-02 |
| 1881016491 | Miller Orthodontics, LLC | Dentist | 2431 W Main St, Suite 303, Dothan, AL 36301-1217 | 2014-01-16 |
| 1376800458 | Karina Jean Parker | Counselor | 2431 W Main St, Suite 603, Dothan, AL 36301-1217 | 2012-04-13 |
| 1205107240 | Barbara Diane Coffey | Counselor | 2431 W Main St, Suite 603, Dothan, AL 36301-1217 | 2012-01-23 |
| 1821383035 | Dothan Cosmetic Dentistry, PC | Dentist | 2431 W Main St, Suite 401, Dothan, AL 36301-1217 | 2011-06-15 |
| 1235438748 | Dermatology Associates of Bay County, P.a. | Dermatology | 2431 W Main St, Suite 501, Dothan, AL 36301-1217 | 2011-03-23 |
| 1356658868 | Maxwell Geoff Gunn | Physician Assistant | 2431 W Main St, Ste 1001, Dothan, AL 36301-1217 | 2010-09-03 |
| 1295067643 | Patrick Scott Nelson | Physician Assistant | 2431 W Main St, 501, Dothan, AL 36301-1217 | 2010-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700190204 | Charles Fred Conner | Surgery | 47 Foxchase Dr, Dothan, AL 36305-1145 | 2010-07-27 |
| 1053396606 | Bryant Fleming Williams | Surgery | 1118 Ross Clark Cr, Suite 500, Dothan, AL 36301-3030 | 2005-12-07 |
| 1154316586 | Jeffrey Bray Whitehurst | Surgery | 112 Haven Drive, Suite 1, Dothan, AL 36301 | 2005-09-12 |
| 1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
| 1730184912 | Jonathan L. Skinner | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3002 | 2005-06-15 |
| 1740285931 | Jason D. Beaver | Surgery | 4300 W Main St Ste 21, Dothan, AL 36305-1058 | 2005-06-15 |
| 1881057974 | Houston County Healthcare Authority | Surgery | 1812 E Main St, Dothan, AL 36301-3000 | 2016-04-05 |
| 1528340536 | Jonathan L Skinner LLC | Surgery | 1118 Ross Clark Cir, Ste 302, Dothan, AL 36301-3001 | 2011-09-15 |
| 1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
| 1235443417 | Wiregrass Vascular, P.C. | Surgery | 112 Haven Dr, Suite 1, Dothan, AL 36301-2907 | 2010-07-30 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.