ASHBY MALLOY MOORE (PA-C) – Physician Assistant, NPI 1003538513
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for ASHBY MALLOY MOORE (PA-C)
381 PINE FOREST RD
ATLANTA, GA 303422759
Phone: (404) 317-7177
Type: Mailing
26 STANDISH AVE NW
ATLANTA, GA 303092011
Phone: (404) 317-7177
Type: Mailing
3200 DOWNWOOD CIR NW STE 700
ATLANTA, GA 303275308
Phone: (404) 355-8066
Fax: (844) 311-7739
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,585.
Total Amount is formed as General ($1,585) + Research ($0) + Ownership ($0) = $1,585.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: United Orthopedics LLC ($778).
Total Amount
$1,585
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,585
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| United Orthopedics LLC | $778 |
| Arthrex, Inc. | $460 |
| Medline Industries LP | $347 |
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: 2022-11-09
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 |
|---|---|---|---|---|
| I20221109001033 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 90 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 95 | 72 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 66 | 49 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 42 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 30342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Physical Therapist In Private Practice | GA | |
| - | GA | |
| - | GA | |
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | FL |
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