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

John Robertson, PA-C

Individual provider Physician Assistant · NPI 1457861387

John Robertson, PA-C is a Physician Assistant in Mobile, Alabama. Qualified in 2017, 9 years ago. Practices with Imc-Cardio-Thoracic and Vascular Surgical Associates LLC, a 22-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alabama, Maryland, Montana and Oregon.

Years since qualifying
9
Licensed in
AL, MD, MT, OR
In the registry since
2017
Specialties on file
4
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

1855 Spring Hill Ave
Mobile, AL 36607-2301
Phone: (251) 435-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1800 Orleans St # 600, Baltimore, MD 21287-0010 — (410) 502-2651
  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 — (503) 494-7820

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60295 (MT)
Physician Assistant Taxonomy 363A00000X · Licence C07307 (MD)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA201518 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.2378 (AL)

Record details

NPI number1457861387
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2017
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address1855 Spring Hill Ave, Mobile, AL 36607-2301

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Imc-Cardio-Thoracic And Vascular Surgical Associates Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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