HEATHER DEBERRY (PA-C) – Physician Assistant, NPI 1174918411
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEATHER DEBERRY (PA-C)
900 CIRCLE 75 PKWY SE
SUITE 1700
ATLANTA, GA 303393035
Phone: (770) 953-6929
Fax: (770) 953-6972
Type: Mailing
6300 HOSPITAL PKWY
SUITE 400
JOHNS CREEK, GA 300971828
Phone: (678) 205-4260
Fax: (678) 417-7187
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Boston Scientific Corporation ($22).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $22 |
| Vericel Corporation | $17 |
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: 2015-06-26
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 |
|---|---|---|---|---|
| I20150626000943 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 161 | 131 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 111 | 101 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 81 | 58 | $0 |
| 73140 | X-ray of finger, minimum of 2 views | 66 | 47 | $0 |
| 73100 | X-ray of wrist, 2 views | 44 | 32 | $0 |
Insurance plans in this area (ZIP 30339)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Orthopedic Surgery | GA | |
| - | GA | |
| Physical Medicine And Rehabilitation | MO | |
| Orthopedic Surgery, Hand Surgery | FL | |
| - | GA | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | GA |
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