Active NPI
Ashley Beth Devries, P.A.-C
- Medical Physician Assistant
- Panama City, FL
National Provider Identifier
1023077997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9103557
- Practice address
- 114 Airport Rd Ste B
Panama City, FL 32405-4738 - Phone
- (850) 785-0788
- Fax
- (850) 785-1066
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9103557 | FL | Primary |
| Physician Assistant | 363A00000X | PA9103557 | FL |
Addresses
Primary practice location
114 Airport Rd Ste B
Panama City, FL 32405-4738
Mailing address
5431 Hopetown LN
Panama City Beach, FL 32408-7938
Phone (850) 832-8923
Other names 1
- Mrs. Ashley D. McClellan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070103000268 | FL | Practitioner - Physician Assistant | 8921008640 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of South Alabama College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Steven L Mullis MD PA
Practice addresses (Care Compare)
114 Airport Rd
Suite B
Panama City, FL 32405-4738
Phone (850) 785-0788
Hospital & facility affiliations
- HCA Florida Gulf Coast Hospital
- Ascension Sacred Heart Bay
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9103557 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bernier Family Practice and Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Lynn Haven, FL
- NPI 1093807802
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1023077997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5431 HOPETOWN LN",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324087938",
"telephone_number": "850-832-8923",
"fax_number": "850-785-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 AIRPORT RD STE B",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054738",
"telephone_number": "850-785-0788",
"fax_number": "850-785-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVRIES",
"first_name": "ASHLEY",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9103557",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103557",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "MCCLELLAN",
"middle_name": "D.",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.