Jessica Marshman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1109 Issued in AL

Practice address

2804 Dr John Haynes Dr
Pell City, AL 35125

Phone

(205) 338-6655

Fax

(205) 338-6658

NPI assigned

Sep 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Gardendale Pain and Wellness, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Gardendale, AL
  • NPI 1316459746
  Medicare reassignment

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1639626534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251438",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "35125",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 10th Ave S",
            "address_2": "Building 2, Suite 203",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051200",
            "country_code": "US",
            "telephone_number": "205-930-2600",
            "fax_number": "205-930-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 10th Ave S",
            "address_2": "Building 2, Suite 203",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051200",
            "country_code": "US",
            "telephone_number": "205-930-2600",
            "fax_number": "205-930-2605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Martin St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351251337",
            "country_code": "US",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHMAN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainstreet Drugs, Inc
• Farzana Malik, M.D.
• Tucker Lee Malone, PHARMD
• Ashley Mardis, PHARMD
• Wendy Maronge
• Erin Chrisla Martin, CRNP
• Mary Sue Suggs
• James Jure Matic, MD
• William Mayberry IV, OD
• Zachary Forrest Mayhew, DPT

• Physician Assistant in Pell City, AL
• Providers in Pell City, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.