Active NPI
Claude T Ashley Jr., M.D.
- Pediatric Adolescent Medicine Physician
- Dothan, AL
National Provider Identifier
1194722397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 00021645
- Practice address
- 200 Grove Park LN Ste 660
Dothan, AL 36305-5922 - Phone
- (334) 791-6910
- Fax
- (334) 459-1619
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 00021645 | AL | Primary |
Addresses
Primary practice location
200 Grove Park LN Ste 660
Dothan, AL 36305-5922
Mailing address
200 Grove Park LN Ste 660
Dothan, AL 36305-5922
Phone (334) 791-6910
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630738893 | Other | AL | TAX ID |
| 000076309 | Medicaid | AL | |
| 00780029B | Medicaid | GA | |
| 254268400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00021645 | AL | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Healthcare, LLC | Current | Accepting new patients | |
| Southeastern Pediatric Associates, P.a. | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
200 Grove Park Ln
Ste 660
Dothan, AL 36305
Phone (334) 791-6910
Interoperability endpoints
- claude.ashley@371161182240772.direct.elationemr.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Dothan, AL
- NPI 1083361893
-
- Pediatrics Physician
- Dothan, AL
- NPI 1093907412
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1194722397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GROVE PARK LN STE 660",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363055922",
"telephone_number": "334-791-6910",
"fax_number": "334-459-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GROVE PARK LN STE 660",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363055922",
"telephone_number": "334-791-6910",
"fax_number": "334-459-1619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHLEY",
"first_name": "CLAUDE",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "AL",
"license": "00021645",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "630738893",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000076309",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00780029B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254268400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.