MR. BOBBY GENE JR. STOUT (PA-C) – Physician Assistant, NPI 1235128612
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. BOBBY GENE JR. STOUT (PA-C)
631 PROFESSIONAL DR STE 360
LAWRENCEVILLE, GA 300463370
Phone: (678) 312-2700
Fax: (678) 312-2730
Type: Location
Loganville Post Office, Kingsgate Cove, Loganville, Gwinnett County, Georgia, 30052, United States
LOGANVILLE, GA 300520050
Phone: (678) 312-2700
Fax: (678) 312-2730
Type: Mailing
2200 MEDICAL CENTER BLVD STE 350
LAWRENCEVILLE, GA 300467768
Phone: (678) 312-2700
Fax: (678) 312-2730
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $541.
Total Amount is formed as General ($541) + Research ($0) + Ownership ($0) = $541.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Abbott Laboratories ($189).
Total Amount
$541
General + Research + Ownership
Payments
11
Total payment records
General Amount
$541
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $189 |
| Amgen Inc. | $137 |
| Stryker Corporation | $67 |
| Medtronic, Inc. | $40 |
| Augmedics Inc. | $30 |
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: 2004-03-09
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 |
|---|---|---|---|---|
| I20040309000195 | 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 | 38 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 17 | 16 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 17 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 30046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Nurse Practitioner | GA | |
| Interventional Cardiology | GA | |
| Physician Assistant | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | MI | |
| Cardiovascular Disease (Cardiology) | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | GA | |
| Cardiovascular Disease (Cardiology) | GA |
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