MRS. NICOLE T RIVERA (P.A.,C.) – Medical Physician Assistant, NPI 1205002151
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for MRS. NICOLE T RIVERA (P.A.,C.)
1355, Peachtree Street Northeast, Atlanta, Georgia, 30309, United States
SUITE 1600
ATLANTA, GA 303093212
Phone: (678) 223-7774
Fax: (678) 223-7799
Type: Mailing
Towne Lake Parkway, Woodstock, Cherokee County, Georgia, 30189, United States
SUITE 308
WOODSTOCK, GA 301891602
Phone: (770) 926-5459
Fax: (770) 926-4421
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 224 Open Payments records for all available years, with a total value of $4,815.
Total Amount is formed as General ($4,815) + Research ($0) + Ownership ($0) = $4,815.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Biotech, Inc. ($865).
Total Amount
$4,815
General + Research + Ownership
Payments
224
Total payment records
General Amount
$4,815
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-05-28
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 |
|---|---|---|---|---|
| I20080528000237 | 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 | 323 | 221 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 119 | 105 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 93 | 93 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 42 | 42 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA |
Reviews
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