Individual provider Active NPI

Rebecca M Sassaman, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1144478009
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 619 Issued in AL
Practice address
5472 Old Shell Rd
Mobile, AL 36608-3046
Phone
(251) 378-0200
Fax
(251) 378-0206
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TA-1658 AL
Physician Assistant 363A00000X PA 619 AL Primary

Addresses

Primary practice location

5472 Old Shell Rd
Mobile, AL 36608-3046

Mailing address

5472 Old Shell Rd
Mobile, AL 36608-3046
Phone (251) 378-0200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120420000304 AL Practitioner - Physician Assistant 7315108214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kathryn Dempsey Dermatology PCGroup PAC ID 4385864503, 2 clinicians

Practice addresses (Care Compare)

5472 Old Shell Rd
Mobile, AL 36608-3046
Phone (251) 378-0205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
619ALMDPhysical Therapy Assistant
PA 619ALMDPhysician Assistant
TA-1658ALMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rsassaman@mprsd.emadirect.md

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1144478009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083046",
            "telephone_number": "251-378-0200",
            "fax_number": "251-378-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083046",
            "telephone_number": "251-378-0200",
            "fax_number": "251-378-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSAMAN",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "TA-1658",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA 619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.