Individual provider Active NPI

Cassandra Stein Nosser, M.D.

  • Pediatrics Physician
  • Dothan, AL
National Provider Identifier
1407174626
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31437 Issued in AL
Practice address
126 Clinic Dr
Dothan, AL 36303-1980
Phone
(334) 793-1881
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26438 MS
Pediatrics Physician 208000000X 31437 AL Primary

Addresses

Primary practice location

126 Clinic Dr
Dothan, AL 36303-1980

Mailing address

4370 West Main Street
Dothan, AL 36305-1056
Phone (334) 793-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MS, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200624002328 AR Practitioner - Pediatric MedicinePractitioner - Hospitalist 6406093905 Reassigns benefits to 4 organizations
Practice locations: Newport, AR
I20230202000307 MS Practitioner - Pediatric Medicine 6406093905 Reassigns benefits to 2 organizations
I20250414001248 TX Practitioner - Pediatric Medicine 6406093905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31437ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Current Accepting new patients
Cherokee Nation Current Accepting new patients
Baptist Memorial Medical Group Inc Pediatrics CurrentSince Dec 18, 2022 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 18, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Mar 28, 2025 Accepting new patients
White County Medical Center CurrentSince May 11, 2023 Accepting new patients
Baptist Health Services Current Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Feb 9, 2026 Accepting new patients
White County Medical Center CurrentSince May 11, 2023 Accepting new patients
Arkansas Children'S Medical Group PLLC Pediatrics CurrentSince Nov 16, 2023 Accepting new patients
Baptist Health Services Pediatrics CurrentSince Apr 10, 2024 Accepting new patients
Comprehensive Hospitalists of Ms, LLC CurrentSince Feb 9, 2026 Accepting new patients
Cherokee Nation CurrentSince Mar 28, 2025 Accepting new patients
Cherokee Nation Past Accepting new patients
Forrest County General Hospital Past Accepting new patients

Locations

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 260A
Fort Smith, AR 72901
Phone (479) 709-7337

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

1 Childrens Way
#844
Little Rock, AR 72202
Phone (501) 364-2090

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1200 McLain St
Ste B
Newport, AR 72112
Phone (870) 523-2320

1200 McLain St
Ste D
Newport, AR 72112
Phone (501) 758-5133

1500 W 42nd Ave
Pine Bluff, AR 71603
Phone (501) 364-2090

900 S 52nd St
Rogers, AR 72758
Phone (501) 364-2090

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1407174626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 WEST MAIN STREET",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-793-5000",
            "fax_number": "334-615-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CLINIC DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363031980",
            "telephone_number": "334-793-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSSER",
        "first_name": "CASSANDRA",
        "middle_name": "STEIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "26438",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "31437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.