Individual provider Active NPI

Chelsea Mashburn, PA-C

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1962944355
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA-1187 Issued in AL
Practice address
610 Providence Park Dr E Ste 102
Mobile, AL 36695-4618
Phone
(251) 639-5070
Fax
(251) 634-2994
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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 PA.1187 AL
Family Medicine Physician 207Q00000X PA-1187 AL Primary

Addresses

Primary practice location

610 Providence Park Dr E Ste 102
Mobile, AL 36695-4618

Mailing address

8297 Amanda LN
Irvington, AL 36544-4512
Phone (334) 791-2596

Other practice location 1

6908 Providence Park Dr S
Mobile, AL 36695-4600
Phone (251) 660-3490

Other practice location 2

411 N Section St
Fairhope, AL 36532-2649
Phone (251) 660-3470

Other practice location 3

19140 S 3rd St
Citronelle, AL 36522-2306
Phone (251) 866-0086

Other practice location 4

610 Providence Park Dr E Ste 101
Mobile, AL 36695-4618
Phone (251) 378-3900

Other practice location 5

5100 Rangeline Service Rd N
Mobile, AL 36619-9504
Phone (251) 661-4454

Other practice location 6

9971 Airport Blvd
Mobile, AL 36608-9525
Phone (251) 660-3500

Other practice location 7

8010 Moffett Rd
Semmes, AL 36575-5406
Phone (251) 645-8946

Other practice location 8

18 CM Rambo Dr
Saraland, AL 36571-2147
Phone (251) 675-7433

Other practice location 9

8833 Cottage Hill Rd
Mobile, AL 36695-8345
Phone (251) 544-5420

Other practice location 10

5621 Cottage Hill Rd
Mobile, AL 36609-4210
Phone (251) 666-2439

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

  • Saad Healthcare Home health agency, Mobile, AL, CCN 017025
  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1187ALMDPsychologist
PA-1187ALMDFamily Medicine Physician
PA.1187ALMDPhysician Assistant

Practice roles

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

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

5100 Rangeline Service Rd N
Mobile, AL 36619
Phone (251) 378-4000

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

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

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

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 and National Provider Directory roles.

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": "1546387200000",
    "number": "1962944355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 AMANDA LN",
            "city": "IRVINGTON",
            "state": "AL",
            "postal_code": "365444512",
            "telephone_number": "334-791-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E STE 102",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954618",
            "telephone_number": "251-639-5070",
            "fax_number": "251-634-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6908 Providence Park Dr S",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954600",
            "country_code": "US",
            "telephone_number": "251-660-3490",
            "fax_number": "251-660-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 N Section St",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365322649",
            "country_code": "US",
            "telephone_number": "251-660-3470",
            "fax_number": "251-660-3471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19140 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Citronelle",
            "state": "AL",
            "postal_code": "365222306",
            "country_code": "US",
            "telephone_number": "251-866-0086",
            "fax_number": "251-866-0089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Providence Park Dr E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954618",
            "country_code": "US",
            "telephone_number": "251-378-3900",
            "fax_number": "251-378-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Rangeline Service Rd N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366199504",
            "country_code": "US",
            "telephone_number": "251-661-4454",
            "fax_number": "251-661-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9971 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366089525",
            "country_code": "US",
            "telephone_number": "251-660-3500",
            "fax_number": "251-660-3501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8010 Moffett Rd",
            "address_purpose": "LOCATION",
            "city": "Semmes",
            "state": "AL",
            "postal_code": "365755406",
            "country_code": "US",
            "telephone_number": "251-645-8946",
            "fax_number": "251-645-8976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 CM Rambo Dr",
            "address_purpose": "LOCATION",
            "city": "Saraland",
            "state": "AL",
            "postal_code": "365712147",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8833 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366958345",
            "country_code": "US",
            "telephone_number": "251-544-5420",
            "fax_number": "251-544-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5621 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366094210",
            "country_code": "US",
            "telephone_number": "251-666-2439",
            "fax_number": "251-666-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1187",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "PA-1187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.