Unknown Individual – Medical Physician Assistant, NPI 1013004027
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Toccoa Highway, Clarkesville, Habersham County, Georgia, 30325, United States
CLARKESVILLE, GA 305236730
Phone: (706) 754-5991
Fax: (706) 754-6736
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $92.
Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.
Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($36).
Total Amount
$92
General + Research + Ownership
Payments
5
Total payment records
General Amount
$92
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 433 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 187 | 187 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 168 | 166 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 144 | 144 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 114 | $0 |
Insurance plans in this area (ZIP 30523)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 11101 | Biopsy of each additional growth of skin and/or tissue | 155 | 127 |
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