MRS. KERISSA MEETTA DEESE-AJUFO (PA-C) – Physician Assistant, NPI 1598396996
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KERISSA MEETTA DEESE-AJUFO (PA-C)
3700 S RAILROAD ST STE A
PHENIX CITY, AL 368672994
Phone: (334) 664-0463
Type: Location
8912 THOMPSON RIDGE LOOP
MONTGOMERY, AL 361178957
Phone: (334) 413-1660
Type: Mailing
1315 MULBERRY ST
MONTGOMERY, AL 361061132
Phone: (334) 262-1113
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($34).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $34 |
| Merck Sharp & Dohme LLC | $25 |
| IRONSHORE PHARMACEUTICALS INC. | $20 |
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: 2024-11-11
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 |
|---|---|---|---|---|
| I20200402001313 | I | Physician Assistant | AL | TBD |
| I20241111002642 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36867)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Emergency Medicine, Internal Medicine | AL | |
| Pediatric Medicine | AL | |
| Nurse Practitioner | GA | |
| Physician Assistant | TX | |
| General Practice | NY | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Preventive Medicine, Addiction Medicine | NY | |
| - | AL |
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