SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A. – NPI #1093907412
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A. is a provider located in DOTHAN, AL. NPPES has assigned the NPI number 1093907412 to SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A. on August 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 15 years ago on Jan 12, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A. below.

NPI Profile for
SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A.

NPI Number
1093907412
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A.
Primary location
364 HONEYSUCKLE RD
DOTHAN, AL 36305-1140
Phone: (334) 794-8656 Fax: (337) 702-7047
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
S. EVERETT
OFFICE MANAGER
Phone: (334) 794-8656
Updated
Identifiers

Identifiers for SOUTHEASTERN PEDIATRIC ASSOCIATES, P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAL528300110
MEDICAIDFL272658100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.