MRS. CALLAWAY ANDERSON SKINNER (PA-C) – Physician Assistant, NPI 1245635929

MRS. CALLAWAY ANDERSON SKINNER (PA-C) is a healthcare provider. based in Statesboro, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 7433 (GA). The NPI Number for MRS. CALLAWAY ANDERSON SKINNER (PA-C) is 1245635929

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CALLAWAY ANDERSON SKINNER (PA-C)
NPI
1245635929
Phone
(912) 681-7368
Address
120 S ZETTEROWER AVE
Enumeration Date
24 October 2014
Last Update Date
30 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068685676
Graduation Year
2014 (12 years ago)
PAC ID
6901123579
Group Practice PAC ID
9537156484
Professional Enrollment ID
I20150318002331
Address ID
GA308093000EV340XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for MRS. CALLAWAY ANDERSON SKINNER (PA-C)

  • 120 S ZETTEROWER AVE

    STATESBORO, GA 304584816

    Phone: (912) 681-7368

    Fax: (912) 681-3687

    Type: Mailing

  • 984 PLANT DRIVE

    STATESBORO, GA 304600001

    Phone: (912) 478-5641

    Fax: (912) 478-1893

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: GENZYME CORPORATION ($127).

Total Amount

$191

General + Research + Ownership

Payments

7

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2015-03-18

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
I20150318002331IPhysician 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
95117Professional service for multiple injections of allergen26429$0
99214Established patient office or other outpatient visit, 30-39 minutes192111$0
92504Exam of ear using a microscope11074$0
69210Removal of impacted ear wax6745$0
99204New patient office or other outpatient visit, 45-59 minutes6666$0
View full utilization report →

Insurance plans in this area (ZIP 30458)

Loading plans...

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: 9537156484View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
Internal MedicineGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA
A L L E R G Y/ I M M U N O L O G YGA
Qualified AudiologistGA
O T O L A R Y N G O L O G YGA
O T O L A R Y N G O L O G YGA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm MRS. CALLAWAY ANDERSON SKINNER (PA-C)'s NPI?
Yes. MRS. CALLAWAY ANDERSON SKINNER (PA-C) is listed with NPI 1245635929 in the public NPI dataset.
Does CMS list MRS. CALLAWAY ANDERSON SKINNER (PA-C) as active?
Yes — MRS. CALLAWAY ANDERSON SKINNER (PA-C) is active in the NPI listing used on this page.
What is MRS. CALLAWAY ANDERSON SKINNER (PA-C) best known for clinically?
Directory data describes MRS. CALLAWAY ANDERSON SKINNER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. CALLAWAY ANDERSON SKINNER (PA-C)?
MRS. CALLAWAY ANDERSON SKINNER (PA-C)'s geographic hint is Statesboro, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

East Georgia Regional Medical Center, 1499, Fair Road, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States
NPI: 1225037971

MR. JAMES R PAYNE (PA C)

Physician Assistant
Emanuel Medical Center, 117, Kite Road, Swainsboro, Emanuel County, Georgia, 30401, United States
NPI: 1114912524
3466 BOWEN RD
NPI: 1447216577

MRS. REGINA SCHMIDT (PA-C)

Physician Assistant
PO BOX 537021
NPI: 1013956044

KARRI O RAY (PA-C)

Physician Assistant
4 0 1 W MAIN ST
NPI: 1144257379

KATHRYN ANN THATCHER

Physician Assistant
4002, Forest Drive, Sussex Commons, Statesboro, Bulloch County, Georgia, 30458, United States
NPI: 1164530069

STACEY BASQUIN (PAC)

Physician Assistant
PO BOX 1640
NPI: 1760549919
2003 GLEN OAKS DR
NPI: 1497883243