MRS. KANDI LAUREN WILLIS (PA) – Physician Assistant, NPI 1013336205
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. KANDI LAUREN WILLIS (PA)
1199 PRINCE AVE
ATHENS, GA 306062797
Phone: (706) 475-7000
Type: Location
425 SUNSET DR
ATHENS, GA 306062635
Phone: (478) 973-8614
Type: Mailing
PO BOX 746216
ATLANTA, GA 303746216
Phone: (770) 219-8420
Type: Mailing
58 BIG A RD
TOCCOA, GA 305776017
Phone: (706) 827-2607
Type: Location
1199 Prince Ave
Athens, GA 306062797
Phone: (706) 475-7000
Type: Location
485 Highway 29 N
Athens, GA 306015583
Phone: (706) 353-9300
Type: Location
485 HIGHWAY 29 N
ATHENS, GA 306015583
Phone: (706) 353-9300
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 $157.
Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: IDORSIA PHARMACEUTICALS US INC ($80).
Total Amount
$157
General + Research + Ownership
Payments
4
Total payment records
General Amount
$157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| IDORSIA PHARMACEUTICALS US INC | $80 |
| Alkermes, Inc. | $77 |
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: 2014-08-15
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 |
|---|---|---|---|---|
| I20140815002010 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 690 | 66 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 264 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 197 | 165 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 186 | 95 | $0 |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 126 | 114 | $0 |
Insurance plans in this area (ZIP 30606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Family Practice | GA | |
| - | GA | |
| General Surgery | IL | |
| Nurse Practitioner | GA | |
| Family Practice | GA |
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