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

MS. Colleen Degroot, PA-S

Individual provider Physician Assistant · NPI 1639794860

MS. Colleen Degroot, PA-S is a Physician Assistant in Dothan, Alabama. Qualified in 2021, 5 years ago. Practices with Physicians Unity, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Utah.

Years since qualifying
5
Licensed in
AL, UT
In the registry since
2020
Specialties on file
3

Practice location Address checks out

1108 Ross Clark Cir Fl 4
Dothan, AL 36301-3022
Phone: (334) 699-4300
Show map & directions

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

Additional practice locations (1)

  • 872 W Highway 40, Vernal, UT 84078-2416 — (435) 789-6677

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.2444 (AL)
Physician Assistant Taxonomy 363A00000X · Licence 11248938-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639794860
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address5224 75th St Ste D, Lubbock, TX 79424-2525

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 Physicians Unity — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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