MRS. MARYN CLEMENTS CHANDLER (PA-C) – Medical Physician Assistant, NPI 1053672709
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. MARYN CLEMENTS CHANDLER (PA-C)
380 S Conyers Street
Metter, GA 30439
Phone: (912) 685-3992
Fax: (912) 685-3993
Type: Location
PO BOX 538
METTER, GA 304390538
Phone: (912) 685-5715
Fax: (912) 685-3461
Type: Mailing
106 BRIARWOOD RD
STATESBORO, GA 304582459
Phone: (912) 871-5000
Fax: (912) 681-1444
Type: Location
10 DOCTORS ST
METTER, GA 304393337
Phone: (912) 685-5715
Fax: (912) 685-3461
Type: Location
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 $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Novo Nordisk Inc ($37).
Total Amount
$86
General + Research + Ownership
Payments
5
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $37 |
| Boston Scientific Corporation | $18 |
| PFIZER INC. | $17 |
| ABBVIE INC. | $15 |
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: 2012-08-07
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 |
|---|---|---|---|---|
| I20120807000621 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30439)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Family Practice | GA | |
| Internal Medicine | TN | |
| Internal Medicine | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA |
Reviews
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