CHRISTELLE AMMONS (PA-C) – Physician Assistant, NPI 1093291205

CHRISTELLE AMMONS (PA-C) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9111372 (FL). The NPI Number for CHRISTELLE AMMONS (PA-C) is 1093291205

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTELLE AMMONS (PA-C)
NPI
1093291205
Phone
(904) 202-2092
Address
PO BOX 746654
Enumeration Date
11 July 2018
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042027300
Graduation Year
2018 (8 years ago)
PAC ID
8729324058
Group Practice PAC ID
5991932063
Professional Enrollment ID
I20190108002068
Address ID
FL322585469JA14546RDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for CHRISTELLE AMMONS (PA-C)

  • PO BOX 746654

    ATLANTA, GA 303746654

    Phone: (904) 202-2092

    Fax: (904) 376-4075

    Type: Mailing

  • 1824 King St

    Ste 200

    Jacksonville, FL 32204

    Phone: (904) 384-3343

    Fax: (904) 400-6671

    Type: Location

  • 1824, King Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    STE 200

    JACKSONVILLE, FL 32204

    Phone: (904) 384-3343

    Fax: (904) 400-6671

    Type: Mailing

  • 1301 PALM AVE

    JACKSONVILLE, FL 322078432

    Phone: (904) 202-7300

    Fax: (904) 202-2754

    Type: Location

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: 2019-01-08

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
I20190108002068IPhysician AssistantFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6665$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
19303Simple complete removal of breast1313$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 5991932063View full group profile

Reviews

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Frequently asked questions

What federal number belongs to CHRISTELLE AMMONS (PA-C)?
The federal identifier for CHRISTELLE AMMONS (PA-C) is NPI 1093291205.
Is CHRISTELLE AMMONS (PA-C) active in the national directory?
CHRISTELLE AMMONS (PA-C)'s public NPI profile is in an active state.
Can you summarize CHRISTELLE AMMONS (PA-C)'s specialty in plain language?
Clinically, the directory lists CHRISTELLE AMMONS (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is CHRISTELLE AMMONS (PA-C)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for CHRISTELLE AMMONS (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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