LELA FAIRCLOTH ALLEN (PA-C) – Physician Assistant, NPI 1104024777
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for LELA FAIRCLOTH ALLEN (PA-C)
PO BOX 70
VALDOSTA, GA 316030070
Phone: (229) 433-7200
Fax: (229) 249-4031
Type: Mailing
2412 N OAK ST
VALDOSTA, GA 316022567
Phone: (292) 244-1400
Fax: (229) 244-5512
Type: Mailing
3018, North Patterson Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States
VALDOSTA, GA 316021711
Phone: (229) 433-7200
Fax: (229) 249-4031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 132 Open Payments records for all available years, with a total value of $2,769.
Total Amount is formed as General ($2,769) + Research ($0) + Ownership ($0) = $2,769.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($352).
Total Amount
$2,769
General + Research + Ownership
Payments
132
Total payment records
General Amount
$2,769
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $352 |
| Medtronic, Inc. | $313 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $258 |
| Dexcom, Inc. | $214 |
| Bayer Healthcare Pharmaceuticals Inc. | $200 |
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: 2007-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070816000545 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 283 | 224 | $0 |
| 83036 | Hemoglobin a1c level | 229 | 173 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 167 | 125 | $0 |
| 82947 | Blood glucose (sugar) level | 116 | 92 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 39 | $0 |
Insurance plans in this area (ZIP 31603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | ME | |
| E N D O C R I N O L O G Y | GA | |
| Nurse Practitioner | GA |
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