MRS. HARMONY DAWN CHURCH (PA-C) – Surgical Physician Assistant, NPI 1629293790
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. HARMONY DAWN CHURCH (PA-C)
2056 CENTRE POINTE LN
TALLAHASSEE, FL 323084300
Phone: (850) 668-6888
Fax: (850) 656-2822
Type: Location
2505 HARRISON AVE
PANAMA CITY, FL 324054423
Phone: (850) 766-0869
Fax: (850) 522-8354
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $109,280.
Total Amount is formed as General ($109,280) + Research ($0) + Ownership ($0) = $109,280.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($91,631).
Total Amount
$109,280
General + Research + Ownership
Payments
127
Total payment records
General Amount
$109,280
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $91,631 |
| Galderma Laboratories, L.P. | $17,529 |
| Merz North America, Inc. | $120 |
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: 2005-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20051122000047 | 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 32308)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Dermatology, Pathology | FL | |
| Nurse Practitioner | AL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | AL |
Reviews
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