Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley Lyn Waldman, PA-C

Individual provider Physician Assistant · NPI 1942500467

Ashley Lyn Waldman, PA-C is a Physician Assistant in Emeryville, California. Graduated from Mid West Medical College in 2009, 17 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Trained at
Mid West Medical College
Licensed in
GA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2100 Powell St Ste 920
Emeryville, CA 94608-1826
Phone: (510) 350-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5185 Peachtree Pkwy Ste 240, Peachtree Corners, GA 30092-6539 — (470) 242-0716

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005718 (GA)

Record details

NPI number1942500467
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2010
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMID WEST MEDICAL COLLEGE
Graduated 2009 (17 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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