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

Mrs. Cassondra Vahling, PA

Individual provider Physician Assistant · NPI 1417570235

Mrs. Cassondra Vahling, PA is a Physician Assistant in Aiken, South Carolina. Qualified in 2021, 5 years ago. Practices with Southern Dermatology Medical LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
5
Licensed in
GA, NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3555 Richland Ave W Ste 174
Aiken, SC 29801-6410
Phone: (803) 335-0066
Fax: (762) 224-2177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4150 Washington Rd Ste 6, Evans, GA 30809-4722 — (706) 814-6104

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10485 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-11305 (NC)

Record details

NPI number1417570235
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 27, 2020
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 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 Southern Dermatology Medical Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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