MRS. CRYSTAL KERSEY COTRELL (PA-C) – Physician Assistant, NPI 1205849973

MRS. CRYSTAL KERSEY COTRELL (PA-C) is a healthcare provider. based in Athens, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 004427 (GA). The NPI Number for MRS. CRYSTAL KERSEY COTRELL (PA-C) is 1205849973

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CRYSTAL KERSEY COTRELL (PA-C)
NPI
1205849973
Phone
(706) 549-1663
Address
1765 Old West Broad Street
Enumeration Date
14 August 2006
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067143562
Graduation Year
2003 (23 years ago)
PAC ID
7719934777
Group Practice PAC ID
5991090540
Professional Enrollment ID
I20050401000850
Address ID
GA306775327WA2061XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MRS. CRYSTAL KERSEY COTRELL (PA-C)

  • 1765 Old West Broad Street

    Bldg 2, Ste 200

    Athens, GA 30606

    Phone: (706) 549-1663

    Fax: (706) 546-8792

    Type: Location

  • Toccoa Clinic, 58, North Big A Road, Toccoa, Stephens County, Georgia, 30577, United States

    TOCCOA, GA 30577

    Phone: (706) 282-4200

    Fax: (706) 886-8045

    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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2005-04-01

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
I20050401000850IPhysician 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
J1100Injection, dexamethasone sodium phosphate, 1 mg16016$0
J0696Injection, ceftriaxone sodium, per 250 mg8419$0
99214Established patient office or other outpatient visit, 30-39 minutes6049$0
96372Injection of drug or substance under skin or into muscle5737$0
99213Established patient office or other outpatient visit, 20-29 minutes4740$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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Provider's Procedures

MRS. CRYSTAL KERSEY COTRELL (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA73110X-ray of wrist, minimum of 3 views2218
PHYSICIAN ASSISTANTGA73630X-ray of foot, minimum of 3 views1716

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: 5991090540View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MRS. CRYSTAL KERSEY COTRELL (PA-C) in the U.S.?
In the U.S., MRS. CRYSTAL KERSEY COTRELL (PA-C) is identified by NPI 1205849973.
Does the public listing show MRS. CRYSTAL KERSEY COTRELL (PA-C) as active?
MRS. CRYSTAL KERSEY COTRELL (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MRS. CRYSTAL KERSEY COTRELL (PA-C) provide?
MRS. CRYSTAL KERSEY COTRELL (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. CRYSTAL KERSEY COTRELL (PA-C) tied to Athens, Georgia?
If you are local to Athens, Georgia, MRS. CRYSTAL KERSEY COTRELL (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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