ABIDE HEALTH & WELLNESS LLC NPI 1144905985

NPI Information

  • NPI: 1144905985
  • Provider Name: ABIDE HEALTH & WELLNESS LLC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 01D2289489
  • Address: 3113 WESLEY WAY STE 2
    DOTHAN, AL
    ZIP 36305
  • Phone: (334) 203-4145

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NPI Details

ABIDE HEALTH & WELLNESS LLC is a geriatric medicine internal medicine in Dothan, AL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ABIDE HEALTH & WELLNESS LLC NPI is 1144905985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3113 WESLEY WAY STE 2
DOTHAN, AL
ZIP 36305-004
Phone: (334) 203-4145
Fax: (334) 245-0335

The provider's authorized official is Juanita Titrud Heersink .
The authorized official title is Medical Director and has the following contact phone number (205) 807-6482.

The CLIA number assigned to this NPI record is 01D2289489 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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