ELIZABETH JEAN STUBBS (AA-C) – Anesthesiologist Assistant, NPI 1356629562

ELIZABETH JEAN STUBBS (AA-C) is a healthcare provider. based in Smyrna, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA-C. The NPI Number for ELIZABETH JEAN STUBBS (AA-C) is 1356629562

Main info

Female
15 Years Of Experience
Name
ELIZABETH JEAN STUBBS (AA-C)
NPI
1356629562
Phone
(678) 852-0791
Address
1896 FOX CHAPEL DR SE
Enumeration Date
22 July 2011
Last Update Date
22 July 2011

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7707021806
Graduation Year
2011 (15 years ago)
PAC ID
6406027465
Group Practice PAC ID
4284917204
Professional Enrollment ID
I20110922000661
Address ID
GA301061121AU3950XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:14State licenses:0Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for ELIZABETH JEAN STUBBS (AA-C)

  • 1896 FOX CHAPEL DR SE

    SMYRNA, GA 300806383

    Phone: (678) 852-0791

    Type: Mailing

  • 3950 AUSTELL RD

    AUSTELL, GA 301061121

    Phone: (770) 732-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($86).

Total Amount

$227

General + Research + Ownership

Payments

10

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

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: 2011-09-22

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
I20110922000661IAnesthesiology 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30080)

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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: 4284917204View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YGA
Anesthesiology AssistantNC
Anesthesiology AssistantWI
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)AP
A N E S T H E S I O L O G YGA
Anesthesiology AssistantWI
Anesthesiology, Internal MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for ELIZABETH JEAN STUBBS (AA-C)?
Save NPI 1356629562 if you need a stable reference for ELIZABETH JEAN STUBBS (AA-C).
Is ELIZABETH JEAN STUBBS (AA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ELIZABETH JEAN STUBBS (AA-C) work in?
You can think of ELIZABETH JEAN STUBBS (AA-C) as practicing within Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH JEAN STUBBS (AA-C)?
We surface Smyrna, Georgia for ELIZABETH JEAN STUBBS (AA-C) based on available NPPES addresses.
How can I contact ELIZABETH JEAN STUBBS (AA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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