Individual provider Active NPI

Claude T Ashley Jr., M.D.

  • Pediatric Adolescent Medicine Physician
  • Dothan, AL
National Provider Identifier
1194722397
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
00021645 Issued in AL
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

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
630738893OtherALTAX ID
000076309MedicaidAL
00780029BMedicaidGA
254268400MedicaidFL

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

LicenseStateTypeSpecialty
00021645ALMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Healthcare, LLC CurrentSince Mar 6, 2022 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

  • Direct secure messaging: claude.ashley@371161182240772.direct.elationemr.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.