TONYA PEPPER (P.A.-C) – Physician Assistant, NPI 1083626493

Physician Assistant

TONYA PEPPER (P.A.-C) is a healthcare provider. based in Kennesaw, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA04195 (TX). The NPI Number for TONYA PEPPER (P.A.-C) is 1083626493

Main info

Female

22 Years Of Experience

Accepts Medicare Assignment

Name

TONYA PEPPER (P.A.-C)

NPI

1083626493

Phone

(903) 806-6536

Address

1879 EVENINGSIDE WAY NW

Enumeration Date

13 August 2006

Last Update Date

8 October 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4706246793

Graduation Year

2004 (22 years ago)

PAC ID

4587627013

Group Practice PAC ID

7517126279

Professional Enrollment ID

I20240411003533

Address ID

GA301574911DA500XXBLVD401

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for TONYA PEPPER (P.A.-C)

1879 EVENINGSIDE WAY NW
KENNESAW, GA 301524794
Phone: (903) 806-6536
Type: Mailing
644 THORNTON RD
LITHIA SPRINGS, GA 30122
Phone: (678) 915-9887
Type: Location
Exceed Urgent Care, 3725, Mall Drive, Texarkana, Bowie County, Texas, 75501, United States
TEXARKANA, TX 755012658
Phone: (903) 306-0001
Fax: (866) 232-5707
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20041105000712	I	Physician Assistant	TX	TBD
I20240411003533	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.

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 30152)

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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: 7517126279View full group profile

Name	Specialty	State
MR. DOUGLAS PAUL SCHUTZ (PA-C)	Physician Assistant	NC
RAUHA ATTAWALA	Physician Assistant	GA
SHADIA CARDOSO (APRN)	Nurse Practitioner	FL
DR. ALAN BENNETT MILLER (MD)	Emergency Medicine, Family Practice	GA
MRS. DEBORAH RUTH MCNAIR (ARNP)	-	GA
DR. SONIA GARSON PADOAN (MD)	Family Practice	GA
MS. CHARLE' L CAMERON (PA-C)	Physician Assistant	GA
DR. TEJINDERPAUL SINGH KAHLON (M.D.)	Family Practice	NJ
MARIA DE FREITAS (PA-C)	-	GA
NHUNG NGUYEN (PA)	Physician Assistant	GA

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Frequently asked questions

What is the standard ID for TONYA PEPPER (P.A.-C) in the U.S.?

In the U.S., TONYA PEPPER (P.A.-C) is identified by NPI 1083626493.

Should I treat TONYA PEPPER (P.A.-C) as an active provider?

Patients and plans typically see TONYA PEPPER (P.A.-C) as active in the national extract.

What does the directory say TONYA PEPPER (P.A.-C) does?

Insurance directories may phrase it differently, but here TONYA PEPPER (P.A.-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.

What geographic area is tied to TONYA PEPPER (P.A.-C)?

TONYA PEPPER (P.A.-C) is associated with Kennesaw, Georgia in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.