TRIAD OF ALABAMA LLC (NPI# 1700820891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700820891 |
| Entity Type | Organization |
| Organization Name | TRIAD OF ALABAMA LLC |
| Other Organization Name | TRISTATE ARRHYTHMIA CLINIC |
| Practice Address |
4300 W Main St Suite 41 Dothan AL 36305-1054 |
| Mailing Address |
7100 Commerce Way Ste. 180 Brentwood TN 37027-2829 |
| Practice Telephone | 3347935000 |
| Mailing Telephone | 6154657626 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIAD OF ALABAMA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tristate Arrhythmia Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538111646 | Triad of Alabama LLC | Durable Medical Equipment & Medical Supplies | 119 S Woodburn Dr, Suite 1, Dothan, AL 36305-1050 | 2006-05-17 |
| 1063464204 | Triad of Alabama LLC | Clinic/Center | 314 Macon St, Eufaula, AL 36027-1810 | 2006-05-16 |
| 1306898549 | Triad of Alabama LLC | Clinic/Center | 322 Andrews Ave, Suite 2, Ozark, AL 36360-3810 | 2006-05-16 |
| 1740232982 | Triad of Alabama LLC | Clinic/Center | 2423 Martin Luther King Jr Blvd, Panama City, FL 32405-4405 | 2006-05-16 |
| 1801830500 | Triad of Alabama LLC | Clinic/Center | 4370 W Main St, Dothan, AL 36305-1056 | 2006-06-15 |
| 1710921416 | Triad of Alabama LLC | Clinical Medical Laboratory | 4370 W Main St, Dothan, AL 36305-1056 | 2006-06-15 |
| 1407890106 | Triad of Alabama LLC | Pharmacy | 119 S Woodburn Dr, Suite 2, Dothan, AL 36305-1050 | 2006-06-15 |
| 1528013034 | Triad of Alabama LLC | Durable Medical Equipment & Medical Supplies | 121 N Main St, Enterprise, AL 36330-2536 | 2006-05-23 |
| 1225082951 | Triad of Alabama LLC | Family Medicine | 4300 W Main St, Suite 2, Dothan, AL 36305-1054 | 2006-05-19 |
| Street Address |
4300 W MAIN ST SUITE 41 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396740577 | Steven M. Fendley | Surgery | 4300 W Main St, Ste 24, Dothan, AL 36305-1054 | 2005-06-15 |
| 1649635434 | Leigh Phillips | Registered Nurse | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2015-12-21 |
| 1336514389 | Tri-state Urology, P.C. | Urology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-12-02 |
| 1861870131 | Martin Plastic and Reconstructive Surgery, PC | Plastic Surgery | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2015-05-07 |
| 1811387053 | Eric M Warg | Registered Nurse | 4300 W Main St, 24, Dothan, AL 36305-1054 | 2015-01-26 |
| 1720426133 | Krystal Sims Fowler | Nurse Practitioner | 4300 W Main St, Suite 31, Dothan, AL 36305-1090 | 2013-06-07 |
| 1932497393 | Dothan Surgical Services, LLC | Surgery | 4300 W Main St, Dothan, AL 36305-1054 | 2011-07-19 |
| 1558657890 | Wiregrass Clinic LLC | Anesthesiology | 4300 W Main St, Suite 21, Dothan, AL 36305-1054 | 2011-06-24 |
| 1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
| 1134426588 | Norma Faye Mcknight | Nurse Practitioner | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2011-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
| Find all providers in zip 36305 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609389 | Wiregrass Behavioral Group LLC | Clinic/Center | 256 Honeysuckle Rd Ste 12, Dothan, AL 36305-1168 | 2020-08-10 |
| 1831740489 | Regenerative Medicine of Alabama | Clinic/Center | 2500 Flowers Chapel Rd, Dothan, AL 36305-8300 | 2019-09-25 |
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| 1689137705 | Wecare Tlc- Poa Hoover | Clinic/Center | 4745 Chace Cir Ste 101, Hoover, AL 35244-3713 | 2019-04-08 |
| 1619430733 | Wecare Tlc- Poa Huntsville | Clinic/Center | 7738 Madison Blvd Ste A, Huntsville, AL 35806-3660 | 2019-04-08 |
| 1124590468 | Ross Bridge Medical Center Pediatrics, LLC | Clinic/Center | 3635 Market St Ste B, Birmingham, AL 35226-6391 | 2018-12-27 |
| 1679079867 | Alacare Home Health Services, Inc. | Clinic/Center | 2400 John Hawkins Pkwy Ste 104, Hoover, AL 35244-3500 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.