STEPHANIE ANN HYSON-GUEVARA (PA) – Physician Assistant, NPI 1174718647

STEPHANIE ANN HYSON-GUEVARA (PA) is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 005300 (GA). The NPI Number for STEPHANIE ANN HYSON-GUEVARA (PA) is 1174718647

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ANN HYSON-GUEVARA (PA)
NPI
1174718647
Phone
Not provided
Address
805 SANDY PLAINS ROAD
Enumeration Date
7 September 2007
Last Update Date
7 January 2022

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7704248222
Graduation Year
1995 (31 years ago)
PAC ID
8921038845
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20080602000294
Address ID
GA301527742KE5150XRDXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for STEPHANIE ANN HYSON-GUEVARA (PA)

  • 805 SANDY PLAINS ROAD

    MEDICAL STAFF SERVICES

    MARIETTA, GA 300666340

    Phone:

    Type: Mailing

  • Martha Berry Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30149, United States

    ROME, GA 301651625

    Phone: (706) 238-8073

    Fax: (706) 238-8081

    Type: Location

  • 40 FOX CHASE

    CARTERSVILLE, GA 301202491

    Phone: (770) 382-0185

    Fax: (770) 382-0247

    Type: Location

  • PO BOX 2016

    CARTERSVILLE, GA 301201684

    Phone: (770) 382-0185

    Fax: (770) 382-0247

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $566.

Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Lilly USA, LLC ($123).

Total Amount

$566

General + Research + Ownership

Payments

31

Total payment records

General Amount

$566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-06-02

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
I20080602000294IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes6329$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1111$0
View full utilization report →

Insurance plans in this area (ZIP 30066)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

How do I look up STEPHANIE ANN HYSON-GUEVARA (PA) by NPI?
Use NPI 1174718647 when you need to reference STEPHANIE ANN HYSON-GUEVARA (PA) in forms, claims, or directories.
Does this profile mean STEPHANIE ANN HYSON-GUEVARA (PA) is currently active?
Yes — STEPHANIE ANN HYSON-GUEVARA (PA) appears active in the national provider directory.
What does STEPHANIE ANN HYSON-GUEVARA (PA) treat or focus on?
Patients typically see STEPHANIE ANN HYSON-GUEVARA (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place STEPHANIE ANN HYSON-GUEVARA (PA)?
The snapshot lists Marietta, Georgia for STEPHANIE ANN HYSON-GUEVARA (PA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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