MRS. ELISABETH JACKSON I GAINES (PA-C) – Physician Assistant, NPI 1194706234
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for MRS. ELISABETH JACKSON I GAINES (PA-C)
Timber Ridge Drive, Anneewakee Heights, Douglasville, Douglas County, Georgia, 30135, United States
DOUGLASVILLE, GA 301357514
Phone: (770) 942-0457
Fax: (770) 942-7699
Type: Location
1835 SAVOY DR
SUITE 300
ATLANTA, GA 303411072
Phone: (770) 942-0457
Fax: (770) 942-7699
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $489.
Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($118).
Total Amount
$489
General + Research + Ownership
Payments
20
Total payment records
General Amount
$489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $118 |
| Genentech USA, Inc. | $56 |
| Regeneron Healthcare Solutions, Inc. | $56 |
| ABBVIE INC. | $54 |
| Stemline Therapeutics Inc. | $43 |
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: 2007-09-28
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 |
|---|---|---|---|---|
| I20070928000238 | 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 | 85 | 65 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 43 | 26 | $0 |
Insurance plans in this area (ZIP 30135)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| - | GA | |
| - | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | AL | |
| - | GA | |
| Hematology/Oncology, Internal Medicine | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| Nurse Practitioner | GA |
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