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

Mallory Tobon, PA-C

Individual provider Physician Assistant · NPI 1073062782

Mallory Tobon, PA-C is a Physician Assistant in Fairhope, Alabama. Qualified in 2016, 10 years ago. Practices with Physician Services of the Gulf Coast LLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2016
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

210 Greeno Rd N
Fairhope, AL 36532-2914
Phone: (251) 277-5300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 10719 Eastern Shore Blvd, Spanish Fort, AL 36527-6042 — (251) 270-0900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.1168 (AL)

Record details

NPI number1073062782
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2016
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physician Services Of The Gulf Coast Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairhope