REBEKAH SOROOSH CORLEY (PA-C) – Physician Assistant, NPI 1023352358

REBEKAH SOROOSH CORLEY (PA-C) is a healthcare provider. based in Athens, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0010-03918 (NC). The NPI Number for REBEKAH SOROOSH CORLEY (PA-C) is 1023352358

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
REBEKAH SOROOSH CORLEY (PA-C)
NPI
1023352358
Phone
(706) 353-2990
Address
3320 Old Jefferson Rd Bldg 700
Enumeration Date
27 November 2012
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063532990
Graduation Year
2012 (14 years ago)
PAC ID
5294970232
Group Practice PAC ID
0345293866
Professional Enrollment ID
I20230214002469
Address ID
GA306071465AT3320XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for REBEKAH SOROOSH CORLEY (PA-C)

  • 3320 Old Jefferson Rd Bldg 700

    Athens, GA 306071465

    Phone: (706) 353-2990

    Type: Location

  • 1460 Resurgence Dr

    Watkinsville, GA 306777320

    Phone: (706) 715-2410

    Fax: (706) 353-2992

    Type: Location

  • 3320 OLD JEFFERSON RD BLDG 800

    ATHENS, GA 306071400

    Phone: (706) 353-2990

    Type: Mailing

  • 658 N CHASE ST STE 201

    ATHENS, GA 306011960

    Phone: (706) 353-2990

    Type: Location

  • 1312 JOHN KIRK DR

    CHARLOTTE, NC 282620824

    Phone: (704) 390-2141

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 104 Open Payments records for all available years, with a total value of $2,412.

Total Amount is formed as General ($2,412) + Research ($0) + Ownership ($0) = $2,412.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($723).

Total Amount

$2,412

General + Research + Ownership

Payments

104

Total payment records

General Amount

$2,412

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2023-02-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230214002469IPhysician 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
99204New patient office or other outpatient visit, 45-59 minutes5454$0
99214Established patient office or other outpatient visit, 30-39 minutes4536$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 30607)

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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: 0345293866View full group profile
NameSpecialtyState
Physician AssistantGA
P A T H O L O G YGA
General SurgeryGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
H E M A T O L O G Y/ O N C O L O G YGA
-GA
Physician AssistantGA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

What is the standard ID for REBEKAH SOROOSH CORLEY (PA-C) in the U.S.?
In the U.S., REBEKAH SOROOSH CORLEY (PA-C) is identified by NPI 1023352358.
Does the public listing show REBEKAH SOROOSH CORLEY (PA-C) as active?
REBEKAH SOROOSH CORLEY (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does REBEKAH SOROOSH CORLEY (PA-C) provide?
REBEKAH SOROOSH CORLEY (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to REBEKAH SOROOSH CORLEY (PA-C)?
REBEKAH SOROOSH CORLEY (PA-C) is associated with Athens, Georgia in the same public data insurers reference.
Who maintains REBEKAH SOROOSH CORLEY (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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