Individual provider Active NPI

Chelsea Mashburn, PA-C

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1962944355
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA-1187 Issued in AL
Practice address
105 S Woodburn Dr Ste 2
Dothan, AL 36305-1109
Phone
(334) 649-3458
Fax
(833) 468-4988
NPI assigned
Nov 16, 2016
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA-1187 AL Primary
Physician Assistant 363A00000X PA.1187 AL

Addresses

Primary practice location

105 S Woodburn Dr Ste 2
Dothan, AL 36305-1109

Mailing address

105 S Woodburn Dr Ste 2
Dothan, AL 36305-1109
Phone (334) 649-3458

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
I20170208001904 AL Practitioner - Physician Assistant 9830472281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3929 Airport Blvd 5TH Fir
Mobile, AL 36609-1419

PO Box
Suite 850489
Mobile, AL 36685-0489

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1187ALMDClinical Psychologist
PA-1187ALMDFamily Medicine Physician
PA.1187ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Healthcare Services Family Medicine Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jan 3, 2017 Accepting new patients

Locations

19140 S 3rd St
Citronelle, AL 36522
Phone (251) 866-0086

411 N Section St
Fairhope, AL 36532
Phone (251) 517-5027

5100 Rangeline Service Rd N
Mobile, AL 36619
Phone (251) 661-4454

5621 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 666-2439

610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

8833 Cottage Hill Rd
Mobile, AL 36695
Phone (251) 544-5120

9971 Airport Blvd
Mobile, AL 36608
Phone (251) 660-3500

18 Rambo Dr
Saraland, AL 36571
Phone (251) 675-2029

8010 Moffett Rd
Semmes, AL 36575
Phone (251) 645-8946

Interoperability endpoints

  • Direct secure messaging: chelsea.mashburn.1@16253.direct.athenahealth.com

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 2

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1962944355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S WOODBURN DR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051109",
            "telephone_number": "334-649-3458",
            "fax_number": "833-468-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S WOODBURN DR STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051109",
            "telephone_number": "334-649-3458",
            "fax_number": "833-468-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "PA-1187",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.