BRADLEY DANIEL PAGE (PA) – Medical Physician Assistant, NPI 1265490098

BRADLEY DANIEL PAGE (PA) is a healthcare provider. based in Waycross, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 4755 (GA). The NPI Number for BRADLEY DANIEL PAGE (PA) is 1265490098

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY DANIEL PAGE (PA)
NPI
1265490098
Phone
(912) 490-7777
Address
2005 PIONEER ST STE C
Enumeration Date
2 May 2006
Last Update Date
7 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
4587667274
Group Practice PAC ID
3072934520
Professional Enrollment ID
I20060818000262
Address ID
GA315017072WA2100XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for BRADLEY DANIEL PAGE (PA)

  • 2005 PIONEER ST STE C

    WAYCROSS, GA 315016205

    Phone: (912) 490-7777

    Fax: (912) 490-7778

    Type: Location

  • 711 Knight Ave

    Waycross, GA 315011943

    Phone: (912) 283-9423

    Fax: (912) 283-8204

    Type: Location

  • Central Avenue at Hoboken Avenue, Central Avenue, Croxton, Journal Square, Jersey City, Hudson County, New Jersey, 07306, United States

    HOBOKEN, GA 315422106

    Phone: (912) 288-3417

    Fax: (912) 283-8204

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 181 Open Payments records for all available years, with a total value of $2,886.

Total Amount is formed as General ($2,886) + Research ($0) + Ownership ($0) = $2,886.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($564).

Total Amount

$2,886

General + Research + Ownership

Payments

181

Total payment records

General Amount

$2,886

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2006-08-18

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
I20060818000262IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes347149$0
99213Established patient office or other outpatient visit, 20-29 minutes16294$0
96372Injection of drug or substance under skin or into muscle4218$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1111$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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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: 3072934520View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Osteopathic Manipulative Medicine, Family PracticeGA
Physician AssistantGA
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

Is there an official ID for BRADLEY DANIEL PAGE (PA) in U.S. healthcare records?
The official identifier for BRADLEY DANIEL PAGE (PA) is NPI 1265490098.
Is BRADLEY DANIEL PAGE (PA) still an active registrant?
BRADLEY DANIEL PAGE (PA) carries an active NPI according to the public dataset.
What area of care is associated with BRADLEY DANIEL PAGE (PA)?
BRADLEY DANIEL PAGE (PA)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRADLEY DANIEL PAGE (PA) associated with Waycross?
Public fields place BRADLEY DANIEL PAGE (PA) around Waycross, Georgia. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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