Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ashley P Theobald, PA-C

Individual provider Physician Assistant · NPI 1780086488

Ashley P Theobald, PA-C is a Physician Assistant in Panama City Beach, Florida. Qualified in 2021, 5 years ago. Practices with Prisma Health Urgent Care of South Carolina PC, a 156-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida, South Carolina and Tennessee.

Years since qualifying
5
Licensed in
FL, SC, TN
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

11111 Panama City Beach Pkwy
Panama City Beach, FL 32407-2448
Phone: (850) 804-2900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 615 N Bonita Ave, Panama City, FL 32401-3623 — (850) 769-1511
  • 1298 Woodruff Rd, Greenville, SC 29607-5754 — (864) 236-4700
  • 2 Roper Corners Cir, Greenville, SC 29615-4833 — (864) 234-7815

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121510 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 4280 (SC)
Physical Therapist Taxonomy 225100000X · Licence 10184 (TN)

Record details

NPI number1780086488
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 24, 2014
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prisma Health Urgent Care Of South Carolina Pc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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