BEVERLY JEAN CADWALLADER (PA-C) – Physician Assistant, NPI 1003232265
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for BEVERLY JEAN CADWALLADER (PA-C)
114 HARMONY XING STE 1
EATONTON, GA 310249546
Phone: (706) 484-0884
Fax: (706) 484-0885
Type: Mailing
1129 LAKE OCONEE PKWY STE 104
EATONTON, GA 310249581
Phone: (762) 220-1962
Fax: (762) 220-1961
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2023-08-29 • Largest payer in this snapshot: Ascensia Diabetes Care Us Inc. ($47).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ascensia Diabetes Care Us Inc. | $47 |
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: 2019-05-14
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 |
|---|---|---|---|---|
| I20190514002580 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 428 | 19 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 294 | 19 | $0 |
| 96521 | Refilling and maintenance of portable pump | 294 | 19 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 289 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 156 | 18 | $0 |
Insurance plans in this area (ZIP 31024)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Family Practice | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| Nurse Practitioner | GA | |
| Chiropractic, Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| P O D I A T R Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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