Individual provider Active NPI

Jacie Sandlin, PA-C

  • Physician Assistant
  • Mobile, AL
National Provider Identifier
1215701511
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9985 Airport Blvd
Mobile, AL 36608-9525
Phone
(351) 633-2850
NPI assigned
Nov 8, 2023
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

9985 Airport Blvd
Mobile, AL 36608-9525

Mailing address

102 High Ridge Dr
Ocean Springs, MS 39564-8638
Phone (601) 441-0032

Other practice location 1

6901 Airport Blvd
Mobile, AL 36608-3795
Phone (251) 634-2273

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
I20240404001411 AL Practitioner - Physician Assistant 0143668541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Urgent Care LLCGroup PAC ID 8820269871, 6 clinicians

Practice addresses (Care Compare)

9985 Airport Blvd
Mobile, AL 36608-9525

9985 Airport Boulevard
Mobile, AL 36608-9525
Phone (251) 633-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2335ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System PastSince Nov 1, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1215701511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HIGH RIDGE DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648638",
            "telephone_number": "601-441-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9985 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089525",
            "telephone_number": "351-633-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083795",
            "country_code": "US",
            "telephone_number": "251-634-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "JACIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.