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Colton Ashley , PA-C

Physician Assistant β€’ St Augustine, FL

Active NPI 1609681972 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

45 Groover Loop Ste 201
St Augustine, FL 320866586

Call 9046340640 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

45 Groover Loop Ste 201

St Augustine, FL 320866586

Telephone 9046340640
Fax 9046340203
Organization at the Same NPPES Address or Phone
Southeast Orthopedic Specialists, Llc Facility NPI 1730815184

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Southeast Orthopedic Specialists Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Colton Ashley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Colton Ashley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in St Augustine and Florida

41 active clinicians are listed under Physician Assistant with a practice address in St Augustine, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in St Augustine

2.4% of these 41 clinicians have the CMS telehealth indicator.

61% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9119954

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
126117400 (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250314000962

Enrollment State Jurisdiction

FL

PECOS Control ID

7113449505

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Southeast Orthopedic Specialists Llc

45 Groover Loop, St Augustine, FL 320866586

Phone: 9046340640

Southeast Orthopedic Specialists Llc

10475 Centurion Pkwy N, Jacksonville, FL 322565004

Phone: 9046340640

Southeast Orthopedic Specialists Llc

232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 320826600

Phone: 9046340640

Southeast Orthopedic Specialists Llc

300 Saint Elizabeth Way, St Johns, FL 322591153

Phone: 9046340640

Southeast Orthopedic Specialists Llc

4268 Oldfield Crossing Dr, Jacksonville, FL 322238800

Phone: 9046340640

Secondary Practice Locations

10475 Centurion Pkwy N Ste 220

Jacksonville, FL 322565004

Phone: 9046340640

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Anthony Abate , PA-C

Physician Assistant

NPI 1588411623

Physician Assistant (Certified)

Dr. Jorge Acevedo , MD

Orthopaedic Surgery

NPI 1710969225

Doctor of Medicine (M.D.)

Dr. Marisa Ale , DPT

Physical Therapist

NPI 1093581449

Doctor of Physical Therapy

Dr. Stephen Arndt , MD

Orthopaedic Surgery

NPI 1346301322

Doctor of Medicine (M.D.)

Mark Arrigenna , PA-C

Physician Assistant

NPI 1235489287

Physician Assistant (Certified)

Dr. Alexandra Aycock , DPT

Physical Therapist

NPI 1588421077

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2025

Physician Assistant

πŸ“
Updated Practice Location March 20, 2025

Registered at 45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 320866586 (Tel: 9046340640)

πŸ‘€
Provider Name / Credentials Updated March 20, 2025

Recorded as COLTON ASHLEY, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2025

Physician Assistant (license number reported to NPPES: FL PA9119954)

βœ…
NPI Profile Active February 12, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 12, 2025

Registered at 10475 CENTURION PKWY N STE 220, JACKSONVILLE, FL 322565004 (Tel: 9046340640)

πŸ“
Business Mailing Address (Initial Record) February 12, 2025

Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340640)

πŸ‘€
Provider Name / Credentials (Initial Record) February 12, 2025

Recorded as COLTON ASHLEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration February 12, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609681972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2025
Last Update: July 28, 2025
Sole Proprietor: No

Other Physician Assistants in St Augustine

All Physician Assistants in St Augustine

Mailing Address

6800 Southpoint Pkwy Ste 300

Jacksonville, FL 322168203

Phone: 9046340640

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.