Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720079726 Individual Practitioner Male Practitioner

Dr. Earle F Mazyck , MD

Internal Medicine • Dothan, AL

Professional Overview & Biography Verified Profile Summary

Dr. Earle Mazyck, MD is a registered healthcare professional specializing in Internal Medicine in Dothan, AL. Practice services are available at 1118 ROSS CLARK CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1118 Ross Clark Cir
Suite 303

Dothan, AL 363013001

Telephone 3347943192
Fax 3347927513
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dothan, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.6 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
78 Specialists

Practicing in Dothan, AL (1784 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AL 6961

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
051552726 (AL)
Commercial Insurance / Payer ID Al Blue Cross Provider
051512613 (AL)
Commercial Insurance / Payer ID Rrmc Provider Number
P00009152 (AL)
Commercial Insurance / Payer ID Florida Blue Cross Number
61659 (FL)
Commercial Insurance / Payer ID Cigna Provider Number
4790691001 (AL)
Commercial Insurance / Payer ID Georgia Medicaid Number
00063192A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Justin Casey , CRNP

Nurse Practitioner

NPI 1053549063

Certified Registered Nurse Practitioner

Chelsi Miller , CRNP

Nurse Practitioner - Family

NPI 1235949470

Certified Registered Nurse Practitioner

Dr. James Conner , MD

Internal Medicine

NPI 1386619807

Doctor of Medicine (M.D.)

Amber Brannon , CRNP

Nurse Practitioner - Family

NPI 1417534330

Certified Registered Nurse Practitioner

NPI 1477528990

Doctor of Medicine (M.D.)

Traci Stafford , CRNP

Nurse Practitioner - Family

NPI 1639700602

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2009

Registered at 1118 ROSS CLARK CIR, SUITE 303, DOTHAN, AL 363013001 (Tel: 3347943192)

📍
Updated Business Mailing Address December 08, 2009

Registered at 1118 ROSS CLARK CIR, SUITE 303, DOTHAN, AL 363013001 (Tel: 3347943192)

👤
Provider Name / Credentials Updated December 08, 2009

Recorded as EARLE MAZYCK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2009

Internal Medicine (License #6961 in AL)

🟢
Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720079726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2005
Last Update: December 08, 2009
Sole Proprietor: Yes

Mailing Address

1118 Ross Clark Cir, Suite 303

Dothan, AL 363013001

Phone: 3347943192

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.