EDWARD C CARDINAL (AA) – Anesthesiologist Assistant, NPI 1205937810
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,383 ANESTHESIOLOGY ASSISTANT in GA
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Provider Addresses for EDWARD C CARDINAL (AA)
239, Grant Street Southeast, Capitol Gateway, Atlanta, Fulton County, Georgia, 30312, United States
APT.179
ATLANTA, GA 30312
Phone: (770) 478-9877
Fax: (770) 478-2908
Type: Mailing
Homegrown Orthodontics and Pediatric Dentistry, 405, Arrowhead Boulevard, Edgemoor Manor, Jonesboro, Clayton County, Georgia, 30236, United States
SUITE C
JONESBORO, GA 302361254
Phone: (770) 478-9877
Fax: (770) 478-2908
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-06-11
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 |
|---|---|---|---|---|
| I20100611000848 | I | Anesthesiology Assistant | OH | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 73 | 63 | $0 |
| 00400 | Anesthesia for other procedure on skin of arms, legs, and front body | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | OH | |
| - | GA | |
| Anesthesiology, Pain Management | OH | |
| Anesthesiology Assistant | OH | |
| A N E S T H E S I O L O G Y | OH | |
| - | OH | |
| A N E S T H E S I O L O G Y | AZ | |
| Anesthesiology Assistant | OH | |
| - | OH | |
| Anesthesiology Assistant | OH |
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