Healthcare Provider Details

I. General information

NPI: 1598699225
Provider Name (Legal Business Name): PFEIFER PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 TACOMA ST
DOTHAN AL
36303-3955
US

IV. Provider business mailing address

22 HAMPTON WAY
DOTHAN AL
36305-6319
US

V. Phone/Fax

Practice location:
  • Phone: 334-883-4803
  • Fax:
Mailing address:
  • Phone: 334-883-4803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN CHARLES PFEIFER
Title or Position: CEO
Credential: MD
Phone: 334-883-4803