CARRIE M PHILLIPS (PA-C) – Physician Assistant, NPI 1104075415
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for CARRIE M PHILLIPS (PA-C)
961 SMOKY MOUNTAIN SPRINGS LN NE STE A
GAINESVILLE, GA 305012418
Phone: (770) 531-3711
Fax: (770) 531-3718
Type: Mailing
961 SMOKY MTN SPGS LN NE STE A
GAINESVILLE, GA 305012418
Phone: (770) 531-3711
Fax: (770) 531-3718
Type: Location
1715 Resurgence Dr Ste 201
Watkinsville, GA 306777321
Phone: (706) 410-9270
Type: Location
700 S ENOTA DR NE
GAINESVILLE, GA 305012403
Phone: (770) 531-3711
Fax: (770) 531-3718
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 232 Open Payments records for all available years, with a total value of $4,237.
Total Amount is formed as General ($4,237) + Research ($0) + Ownership ($0) = $4,237.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,913).
Total Amount
$4,237
General + Research + Ownership
Payments
232
Total payment records
General Amount
$4,237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,913 |
| Novartis Pharmaceuticals Corporation | $686 |
| UCB, Inc. | $292 |
| Amgen Inc. | $257 |
| E.R. Squibb & Sons, L.L.C. | $182 |
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: 2008-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (950 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20081014000025 | I | Physician Assistant | GA | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 402 | 225 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 187 | 124 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 186 | 121 | $0 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 166 | 110 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 146 | 114 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| R H E U M A T O L O G Y | GA | |
| R H E U M A T O L O G Y | GA | |
| R H E U M A T O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | PA | |
| R H E U M A T O L O G Y | GA | |
| R H E U M A T O L O G Y | GA | |
| R H E U M A T O L O G Y | GA | |
| Nurse Practitioner | GA |
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