Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sophia Shea Marino, PA-C

Individual provider Surgical Physician Assistant · NPI 1194419663

Sophia Shea Marino, PA-C is a Physician Assistant in Dothan, Alabama. Qualified in 2023, 3 years ago. Practices with Northstarr Cardiothoracic Surgery LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
Specialties on file
2
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

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone: (334) 793-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12242 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1194419663
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 6, 2023
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northstarr Cardiothoracic Surgery Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dothan