MR. THOMAS LEE RYAN (PA) – Physician Assistant, NPI 1093715708

MR. THOMAS LEE RYAN (PA) is a healthcare provider. based in Fort stewart, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 002971 (GA). The NPI Number for MR. THOMAS LEE RYAN (PA) is 1093715708

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. THOMAS LEE RYAN (PA)
NPI
1093715708
Phone
(912) 435-6022
Address
1061 HARMON AVE., STE 1D03
Enumeration Date
22 July 2005
Last Update Date
16 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
9122649111
Graduation Year
1999 (27 years ago)
PAC ID
3971681958
Group Practice PAC ID
3274559323
Professional Enrollment ID
I20080416000237
Address ID
GA315256721BR485XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MR. THOMAS LEE RYAN (PA)

  • 1061 HARMON AVE., STE 1D03

    WINN ARMY COMMUNITY HOSPITAL

    FORT STEWART, GA 313145674

    Phone: (912) 435-6022

    Type: Mailing

  • 111 COLONIAL WAY

    JESUP, GA 315450130

    Phone: (912) 588-9110

    Type: Mailing

  • Winn Army Community Hospital, 1061, Harmon Avenue, Bowen, Fort Stewart, Liberty County, Georgia, 31314, United States

    WINN ARMY COMMUNITY HOSPITAL

    FORT STEWART, GA 313145674

    Phone: (912) 435-6022

    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: 2008-04-16

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
I20080416000237IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes219184$0
J1100Injection, dexamethasone sodium phosphate, 1 mg20424$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month12238$0
87804Detection test by immunoassay with direct visual observation for influenza virus9647$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus9482$0
View full utilization report →

Insurance plans in this area (ZIP 31314)

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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: 3274559323View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family Practice, Physical Medicine And RehabilitationGA
Nurse PractitionerGA
-GA
-GA

Reviews

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Frequently asked questions

What is the registry number for MR. THOMAS LEE RYAN (PA)?
The registry entry for MR. THOMAS LEE RYAN (PA) shows NPI 1093715708.
Quick check: is MR. THOMAS LEE RYAN (PA) active?
Public NPPES data shows MR. THOMAS LEE RYAN (PA) with an active NPI status right now.
How should patients interpret MR. THOMAS LEE RYAN (PA)'s specialty?
The extract shows Physician Assistant for MR. THOMAS LEE RYAN (PA). Clinical services aligned with this taxonomy classification.
Which community is linked to MR. THOMAS LEE RYAN (PA)?
MR. THOMAS LEE RYAN (PA) shows a connection to Fort Stewart, Georgia in registry-derived data.
Who maintains MR. THOMAS LEE RYAN (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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