SU YUNG ANDERSON (PA) – Anesthesiologist Assistant, NPI 1023063476

SU YUNG ANDERSON (PA) is a healthcare provider. based in Atlanta, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials PA. They hold a License No. 002713 (GA). The NPI Number for SU YUNG ANDERSON (PA) is 1023063476

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
SU YUNG ANDERSON (PA)
NPI
1023063476
Phone
Not provided
Address
660 ELMWOOD DR NE
Enumeration Date
24 May 2006
Last Update Date
17 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043510500
Graduation Year
1994 (32 years ago)
PAC ID
6103816517
Group Practice PAC ID
9133114234
Professional Enrollment ID
I20040517001346
Address ID
GA303385155AT1870XDXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

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Provider Addresses for SU YUNG ANDERSON (PA)

  • 660, Elmwood Drive Northeast, Atlanta, Fulton County, Georgia, 30306, United States

    ATLANTA, GA 303063644

    Phone:

    Type: Mailing

  • 1870, Independence Square, Dunwoody, DeKalb County, Georgia, 30338, United States

    SUITE D

    DUNWOODY, GA 303385155

    Phone: (770) 396-6190

    Fax: (770) 396-5541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $76.

Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: Genentech USA, Inc. ($28).

Total Amount

$76

General + Research + Ownership

Payments

3

Total payment records

General Amount

$76

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-05-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040517001346IAnesthesiology AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery153145$0
00145Anesthesia for retinal surgery9491$0
00140Anesthesia for other procedure on eye3635$0
View full utilization report →

Insurance plans in this area (ZIP 30306)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133114234View full group profile
NameSpecialtyState
-PA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
-GA
Anesthesiology AssistantGA
Anesthesiology AssistantFL
-FL
-GA

Reviews

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Frequently asked questions

What unique ID ties claims to SU YUNG ANDERSON (PA)?
NPI 1023063476 is assigned to SU YUNG ANDERSON (PA) under the national enumeration system.
Is SU YUNG ANDERSON (PA) currently active in the NPI registry?
CMS-published data lists SU YUNG ANDERSON (PA) as an active registrant.
What does SU YUNG ANDERSON (PA) treat or focus on?
Patients typically see SU YUNG ANDERSON (PA) under the specialty Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for SU YUNG ANDERSON (PA)?
The page summarizes Atlanta, Georgia for SU YUNG ANDERSON (PA); expand the address list for detail.
What if Atlanta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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