MS. MICHELLE LEE DUPONT (PA-C) – Physician Assistant, NPI 1104852078
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MS. MICHELLE LEE DUPONT (PA-C)
1101 Hospital Dr Ste 100A
Stockbridge, GA 302819076
Phone: (770) 474-7416
Fax: (770) 692-0761
Type: Location
845 CINDERELLA CT
DECATUR, GA 300335811
Phone: (770) 474-7416
Fax: (770) 389-6210
Type: Mailing
1265, Highway 54 West, Fayetteville, Fayette County, Georgia, 30214, United States
SUITE 304
FAYETTEVILLE, GA 302144548
Phone: (678) 817-4390
Fax: (678) 817-4394
Type: Location
101 SPRINGRIDGE CT
PEACHTREE CITY, GA 302691143
Phone: (770) 474-7416
Fax: (770) 692-0761
Type: Mailing
101 YORKTOWN DR STE 203
FAYETTEVILLE, GA 302141578
Phone: (770) 474-7416
Fax: (706) 920-7617
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: Medtronic, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $20 |
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: 2012-10-26
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 |
|---|---|---|---|---|
| I20121026000280 | 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 | 227 | 157 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 104 | 104 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 13 | 13 | $0 |
| 95992 | Repositioning exercises of head for treatment of dizziness, each day | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| - | GA | |
| Qualified Audiologist | GA | |
| - | GA | |
| Physician Assistant | CA | |
| - | GA |
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