PATRICIA ANNE FLYNN (PAC) – Physician Assistant, NPI 1235283219

PATRICIA ANNE FLYNN (PAC) is a healthcare provider. based in Marietta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA 9100967 (FL). The NPI Number for PATRICIA ANNE FLYNN (PAC) is 1235283219

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA ANNE FLYNN (PAC)
NPI
1235283219
Phone
(770) 422-1013
Address
111 MARBLE MILL RD NW
Enumeration Date
23 January 2007
Last Update Date
26 September 2010

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7704221013
Graduation Year
1999 (27 years ago)
PAC ID
1951583897
Group Practice PAC ID
6507850120
Professional Enrollment ID
I20110314000504
Address ID
GA301276458PO5041XHWYX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for PATRICIA ANNE FLYNN (PAC)

  • Marble Mill Road Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300601047

    Phone: (770) 422-1013

    Fax: (770) 514-5999

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $885.

Total Amount is formed as General ($885) + Research ($0) + Ownership ($0) = $885.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($202).

Total Amount

$885

General + Research + Ownership

Payments

38

Total payment records

General Amount

$885

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2011-03-14

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
I20110314000504IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
17000Destruction of precancer skin growth, 1 growth1413$0
11102Biopsy of related skin growth, first growth1211$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 6507850120View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What federal number belongs to PATRICIA ANNE FLYNN (PAC)?
The federal identifier for PATRICIA ANNE FLYNN (PAC) is NPI 1235283219.
Is PATRICIA ANNE FLYNN (PAC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PATRICIA ANNE FLYNN (PAC)'s specialty in plain language?
Clinically, the directory lists PATRICIA ANNE FLYNN (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does PATRICIA ANNE FLYNN (PAC) practice in Georgia?
You will see Marietta, Georgia on file for PATRICIA ANNE FLYNN (PAC) alongside any extra practice locations.
What if Marietta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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