Jacob H Edwards (NPI# 1730323254, PAC ID# 8325317050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1730323254 |
| PAC ID by PECOS | 8325317050 |
| Professional Enrollment ID | I20170711003531 |
| Full Name | Jacob H Edwards |
| Organization Legal Name | DOTHAN PEDIATRIC CLINIC, P. A. |
| Address |
540 Westgate Pkwy Dothan AL 36303-3073 |
| Phone Number | 3346993733 |
| Gender | M |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 0749245330 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 540 Westgate Pkwy, Dothan, AL 36303-3073 | 3346993733 | DOTHAN PEDIATRIC CLINIC, P. A. |
| Organization Legal Name | DOTHAN PEDIATRIC CLINIC, P. A. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany L Walker | Nurse Practitioner | Dothan Pediatric Clinic, P. A. | 323 E Barbour St, Eufaula, AL 36027-1603 |
| Gregory J Myers | Pediatric Medicine | Dothan Pediatric Clinic, P. A. | 126 Clinic Dr, Dothan, AL 36303-1980 |
| Kenneth C Brown | Pediatric Medicine | Dothan Pediatric Clinic, P. A. | 2125 W Roy Parker Rd, Ozark, AL 36360-8650 |
| Delancey Fowler | Nurse Practitioner | Dothan Pediatric Clinic, P. A. | 126 Clinic Dr, Dothan, AL 36303-1980 |
| Lisa Hicks | Nurse Practitioner | Dothan Pediatric Clinic, P. A. | 126 Clinic Dr, Dothan, AL 36303-1980 |
| David J Lozano | Pediatric Medicine | Dothan Pediatric Clinic, P. A. | 540 Westgate Pkwy, Dothan, AL 36303-3073 |
| Robert J Benak | Pediatric Medicine | Dothan Pediatric Clinic, P. A. | 126 Clinic Dr, Dothan, AL 36303-1980 |
| James B Addison | Nurse Practitioner | Dothan Pediatric Clinic, P. A. | 126 Clinic Dr, Dothan, AL 36303-1980 |
| Deron Sharpe | Neurology | Dothan Pediatric Clinic, P. A. | 126 Clinic Dr, Dothan, AL 36303-1980 |
| Nola Ernest | General Practice | Dothan Pediatric Clinic, P. A. | 126 Clinic Dr, Dothan, AL 36303-1980 |
| Street Address |
540 WESTGATE PKWY |
| City | DOTHAN |
| State | AL |
| Zip | 36303-3073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Lozano | Pediatric Medicine | Dothan Pediatric Clinic, P. A. | 540 Westgate Pkwy, Dothan, AL 36303-3073 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole C Lane | Internal Medicine | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Amanda L Day | Physician Assistant | Southeastern Dermatology Group Pa | 106 Westside Dr, Dothan, AL 36303-0106 |
| Emily Ingram | Nurse Practitioner | American Family Care Inc | 2445 Murphy Mill Rd, Dothan, AL 36303-1595 |
| Benjamin L Sneed | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Mary E Weaver | Emergency Medicine | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Michael B Nance | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jason M Martin | Nurse Practitioner | Allsouth Urgent Care Clinic, Inc. | 4585 Montgomery Hwy, Dothan, AL 36303-1880 |
| Jennifer M Parrish | Nurse Practitioner | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Hassan Kesserwani | Neurology | Wiregrass Clinic LLC | 348 Healthwest Dr, Dothan, AL 36303-1907 |
| Melanie K Cotter | Psychologist, Clinical | 100 Westside Dr, Dothan, AL 36303-1908 | |
| Find all physicians in zip 36303 | |||
| City | DOTHAN |
| Zip Code | 36303 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | DOTHAN + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Jacob H Edwards.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.