SALLY GANTT AMAYA (PA-C) – Physician Assistant, NPI 1568091379
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,202 PHYSICIAN ASSISTANT in AL
Provider Addresses for SALLY GANTT AMAYA (PA-C)
PO BOX 7418
SPANISH FORT, AL 365777418
Phone: (251) 895-7133
Type: Mailing
28490 2ND ST STE B
DAPHNE, AL 365267150
Phone: (251) 308-9800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200420000608 | I | Physician Assistant | AL | TBD |
| I20240814005018 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 13 | $0 |
Insurance plans in this area (ZIP 36577)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Anesthesiology, Pain Management | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | AL | |
| Physician Assistant | FL | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | FL |
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