Individual provider Active NPI

Thomas C Gauldin, PAC

  • Surgical Physician Assistant
  • Dothan, AL
National Provider Identifier
1982677803
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9111869 Issued in FL
Practice address
4300 W Main St Ste 21
Dothan, AL 36305-1058
Phone
(334) 699-7900
Fax
(334) 699-7901
NPI assigned
Feb 10, 2006
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2783 GA
Surgical Physician Assistant 363AS0400X PA9111869 FL Primary
Surgical Physician Assistant 363AS0400X PA756 AL
Surgical Physician Assistant 363AS0400X 0010-01523 NC
Surgical Physician Assistant 363AS0400X PA-1238 AR

Addresses

Primary practice location

4300 W Main St Ste 21
Dothan, AL 36305-1058

Mailing address

4300 W Main St Ste 21
Dothan, AL 36305-1058
Phone (334) 699-7900

Other practice location 1

4301 W Markham St # 532
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AL, FL, AR, GA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20081202000724 NC Practitioner - Physician Assistant 9537164215
I20110519000819 AL Practitioner - Physician Assistant 9537164215 Reassigns benefits to 3 organizations
I20190418000173 FL Practitioner - Physician Assistant 9537164215 Reassigns benefits to 1 organization
I20240313002766 AR Practitioner - Physician Assistant 9537164215 Reassigns benefits to 1 organization
I20250502000028 GA Practitioner - Physician Assistant 9537164215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

4300 W Main St
Dothan, AL 36305-1058

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-4613

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
719SCMDChiropractor
0010-01623NCMDPhysician Assistant
PA756ALMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2024 Accepting new patients
Nchmd, Inc CurrentSince Feb 12, 2026 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Houston County Healthcare Authority CurrentSince Feb 1, 2014 Accepting new patients
The Emory Clinic Inc CurrentSince Apr 23, 2025 Accepting new patients
Baptist Health Centers LLC CurrentSince Mar 10, 2021 Accepting new patients
Houston County Healthcare Authority CurrentSince Feb 1, 2014 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 1, 2024 Accepting new patients
Nchmd Inc CurrentSince Feb 12, 2026 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Southeast Alabama Medical Center Employee Pharmacy Past Accepting new patients
Carilion Medical Center Past Accepting new patients
Firsthealth of the Carolinas, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

833 Princeton Ave SW
Ste 200A
Birmingham, AL 35211
Phone (205) 786-2776

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

1206 Columbia Hwy
Dothan, AL 36301
Phone (334) 677-5986

2431 W Main St
Ste 1001
Dothan, AL 36301
Phone (334) 677-6220

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#532
Little Rock, AR 72205
Phone (501) 686-5311

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

311 Tamiami Trl N
Naples, FL 34102
Phone (239) 659-3937

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

Interoperability endpoints

  • Direct secure messaging: cgauldin12370@southeasthealth.direct-ci.com
  • Direct secure messaging: tgauldin1144417@direct.unc.nchie.net
  • Direct secure messaging: tgauldin738148@hisp.ehr.sutterhealth.org

Organizations & group practices 17

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.

View all 17

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1982677803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 21",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051058",
            "telephone_number": "334-699-7900",
            "fax_number": "334-699-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MAIN ST STE 21",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051058",
            "telephone_number": "334-699-7900",
            "fax_number": "334-699-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 532",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAULDIN",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "2783",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9111869",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA756",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-01523",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AR",
            "license": "PA-1238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.