JA NA MONIQUE HOLYFIELD (PA) – Physician Assistant, NPI 1356300651
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for JA NA MONIQUE HOLYFIELD (PA)
211 FAIRVIEW RD
ELLENWOOD, GA 302942721
Phone: (678) 289-6747
Fax: (678) 289-6750
Type: Mailing
1058 Bear Creek Blvd
Hampton, GA 302281849
Phone: (770) 707-0808
Fax: (770) 707-1580
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: 2016-10-21
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 |
|---|---|---|---|---|
| I20161021001026 | 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 |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 52 | 26 | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 42 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 25 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 25 | 25 | $0 |
Insurance plans in this area (ZIP 30294)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| A N E S T H E S I O L O G Y | GA | |
| Gastroenterology, Internal Medicine | GA | |
| - | GA | |
| Oral Surgery, Maxillofacial Surgery | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA | |
| Internal Medicine, Infectious Disease | GA |
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