Active NPI
Cassidy Waldron
- Physician Assistant
- Mobile, AL
National Provider Identifier
1093553299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5721 USA N Drive
Mobile, AL 36688-0001 - Phone
- (251) 445-9250
- NPI assigned
- Jul 20, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5721 USA N Drive
Mobile, AL 36688-0001
Mailing address
115 Coveshire PL
Madison, AL 35758-3150
Phone (256) 684-7478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 537-3337
604 Stone Ave
Talladega, AL 35160-2217
Phone (240) 686-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2662 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alteon Health Alabama, LLC | Current | Accepting new patients |
Locations
604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111
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.
-
- Emergency Medicine Physician
- Talladega, AL
- NPI 1477708857
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1093553299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 COVESHIRE PL",
"city": "MADISON",
"state": "AL",
"postal_code": "357583150",
"telephone_number": "256-684-7478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 USA N DRIVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880001",
"telephone_number": "251-445-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "CASSIDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-20",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.