MS. PANAPORN ANN APHIVANTRAKUL (CAA) – Anesthesiologist Assistant, NPI 1083224992

MS. PANAPORN ANN APHIVANTRAKUL (CAA) is a healthcare provider. based in Norcross, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. 9937 (GA). The NPI Number for MS. PANAPORN ANN APHIVANTRAKUL (CAA) is 1083224992

Main info

Female
6 Years Of Experience
Name
MS. PANAPORN ANN APHIVANTRAKUL (CAA)
NPI
1083224992
Phone
(404) 451-3061
Address
4041 CITRON CT
Enumeration Date
5 August 2020
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707512500
Graduation Year
2020 (6 years ago)
PAC ID
3577976109
Group Practice PAC ID
4284917204
Professional Enrollment ID
I20201228002244
Address ID
GA300764915RO3000XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for MS. PANAPORN ANN APHIVANTRAKUL (CAA)

  • 4041 CITRON CT

    NORCROSS, GA 300933049

    Phone: (404) 451-3061

    Type: Mailing

  • 80 JESSE HILL JR DR SE

    ATLANTA, GA 303033050

    Phone: (404) 616-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Chiesi USA, Inc. ($26).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2020-12-28

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
I20201228002244IAnesthesiology 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30093)

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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: 4284917204View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YGA
Anesthesiology AssistantNC
Anesthesiology AssistantWI
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)AP
A N E S T H E S I O L O G YGA
Anesthesiology AssistantWI
Anesthesiology, Internal MedicineGA

Reviews

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Frequently asked questions

How do payers reference MS. PANAPORN ANN APHIVANTRAKUL (CAA)?
For MS. PANAPORN ANN APHIVANTRAKUL (CAA), use NPI 1083224992 as the unique 10-digit identifier.
Active or inactive — what applies to MS. PANAPORN ANN APHIVANTRAKUL (CAA)?
You should see MS. PANAPORN ANN APHIVANTRAKUL (CAA) as active in CMS-hosted NPPES data.
What area of care is associated with MS. PANAPORN ANN APHIVANTRAKUL (CAA)?
MS. PANAPORN ANN APHIVANTRAKUL (CAA)'s record emphasizes Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. PANAPORN ANN APHIVANTRAKUL (CAA)?
Directory geography for MS. PANAPORN ANN APHIVANTRAKUL (CAA) centers on Norcross, Georgia.
Can I trust this NPI listing for MS. PANAPORN ANN APHIVANTRAKUL (CAA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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