Individual provider Active NPI

Cassondra Vahling, PA

  • Physician Assistant
  • Aiken, SC
National Provider Identifier
1417570235
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10485 Issued in GA
Practice address
3555 Richland Ave W Ste 174
Aiken, SC 29801-6410
Phone
(803) 335-0066
Fax
(762) 224-2177
NPI assigned
May 27, 2020
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 10485 GA Primary
Physician Assistant 363A00000X 0010-11305 NC

Addresses

Primary practice location

3555 Richland Ave W Ste 174
Aiken, SC 29801-6410

Mailing address

3555 Richland Ave W Ste 174
Aiken, SC 29801-6410
Phone (803) 335-0066

Other practice location 1

4150 Washington Rd Ste 6
Evans, GA 30809-4722
Phone (706) 814-6104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210818002405 GA Practitioner - Physician Assistant 3779988472 Reassigns benefits to 1 organization
I20260109002137 SC Practitioner - Physician Assistant 3779988472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Dermatology Medical LLCGroup PAC ID 0244648186, 6 clinicians
Joseph M Still Burn Centers, IncGroup PAC ID 7618963638, 47 clinicians

Practice addresses (Care Compare)

3555 Richland Ave W
Suite 174
Aiken, SC 29801-6410
Phone (803) 335-0066

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 863-9595

3950 Austell Rd
Austell, GA 30106-1121
Phone (706) 863-9595

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10485GAMDDentist
6016SCMDPharmacist
0010-11305NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph M Still Burn Centers, Inc CurrentSince Jul 12, 2021 Accepting new patients
Southern Dermatology Medical LLC CurrentSince Jan 12, 2026 Accepting new patients
Gardner-Webb University PastSince May 1, 2020 Accepting new patients
Gardner-Webb University PastSince May 1, 2020 Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3675 J Dewey Gray Cir
Ste 300
Augusta, GA 30909
Phone (706) 869-0501

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

4150 Washington Rd
Ste 6
Evans, GA 30809
Phone (706) 814-6104

3555 Richland Ave W
Ste 174
Aiken, SC 29801
Phone (803) 335-0066

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00281

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1417570235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 RICHLAND AVE W STE 174",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016410",
            "telephone_number": "803-335-0066",
            "fax_number": "762-224-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 RICHLAND AVE W STE 174",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016410",
            "telephone_number": "803-335-0066",
            "fax_number": "762-224-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Washington Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308094722",
            "country_code": "US",
            "telephone_number": "706-814-6104",
            "fax_number": "762-224-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHLING",
        "first_name": "CASSONDRA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10485",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.