JOHN A HARTSELL (PA) – Physician Assistant, NPI 1972560621

JOHN A HARTSELL (PA) is a healthcare provider. based in Dothan, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-397 (AL). The NPI Number for JOHN A HARTSELL (PA) is 1972560621

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
JOHN A HARTSELL (PA)
NPI
1972560621
Phone
(334) 793-8087
Address
PO BOX 1928
Enumeration Date
27 April 2006
Last Update Date
24 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2055237483
Graduation Year
2004 (22 years ago)
PAC ID
9032134820
Group Practice PAC ID
9234498239
Professional Enrollment ID
I20051011000500
Address ID
AL354054235TU1771XEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,202 PHYSICIAN ASSISTANT in AL

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Provider Addresses for JOHN A HARTSELL (PA)

  • Dothan Post Office, West Burdeshaw Street, Dothan, Houston County, Alabama, 36303, United States

    DOTHAN, AL 363021928

    Phone: (334) 793-8087

    Fax: (334) 793-8191

    Type: Mailing

  • Southeast Health Campus, 1108, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    DOTHAN, AL 363013022

    Phone: (334) 793-8087

    Fax: (334) 793-8191

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $368.

Total Amount is formed as General ($368) + Research ($0) + Ownership ($0) = $368.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($272).

Total Amount

$368

General + Research + Ownership

Payments

24

Total payment records

General Amount

$368

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051011000500IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36302)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234498239View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Physician AssistantAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How is JOHN A HARTSELL (PA) identified in CMS data?
CMS-hosted NPPES data lists JOHN A HARTSELL (PA) with NPI 1972560621.
Does CMS list JOHN A HARTSELL (PA) as active?
Yes — JOHN A HARTSELL (PA) is active in the NPI listing used on this page.
What taxonomy line describes JOHN A HARTSELL (PA)?
For research purposes, treat JOHN A HARTSELL (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is JOHN A HARTSELL (PA) based?
JOHN A HARTSELL (PA) is tied to Dothan, Alabama in the data we show; additional addresses may exist on the full record.
Is the information about JOHN A HARTSELL (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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