DR. FREDERICK KENT NUNNALLY MD NPI 1689636086

NPI Information

  • NPI: 1689636086
  • Provider Name: DR. FREDERICK KENT NUNNALLY, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4550 W MAIN ST
    DOTHAN, AL
    ZIP 36305
  • Phone: (334) 793-6673

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NPI Details

DR. Frederick Kent Nunnally, MD is a specialist in Dothan, AL with 38 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Frederick Kent Nunnally, MD NPI is 1689636086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

4550 W MAIN ST
DOTHAN, AL
ZIP 36305-130
Phone: (334) 793-6673
Fax: (877) 413-4055

The NPI 1689636086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Test to assess middle ear function (HCPCS:92567)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of impacted ear wax (HCPCS:69210)
  • Biopsy or removal of nasal polyp or tissue using an endoscope (HCPCS:31237)
  • Removal or destruction of growth of nose through nose (HCPCS:30117)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Incision, aspiration, and/or inflation of eardrum (HCPCS:69420)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Removal of nasal air passage under lining tissue (HCPCS:30140)

The enumeration date for this NPI number is 4/3/2006 and was last updated on 3/11/2022.

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
1174400000XSpecialist00016477ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1174014500OTHERALABAMAUS DEPT OF LABOR
2000031972MEDICAIDALABAMA
3040010260OTHERALABAMARAILROAD MEDICARE

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: 3/30/2025

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