MR. JASON ERIC SEYMOUR (PA-C) – Medical Physician Assistant, NPI 1366400962
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for MR. JASON ERIC SEYMOUR (PA-C)
103 WINDING ROAD
DIPRETA DERMATOLOGY
BRUNSWICK, GA 31525
Phone: (912) 510-7546
Fax: (912) 510-7550
Type: Mailing
5, Executive Circle, White Bluff, Leedsgate, Savannah, Chatham County, Georgia, 31406, United States
SAVANNAH, GA 314063345
Phone: (912) 355-2400
Fax: (912) 355-5324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,480.
Total Amount is formed as General ($1,480) + Research ($0) + Ownership ($0) = $1,480.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: GENZYME CORPORATION ($553).
Total Amount
$1,480
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,480
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-09
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 |
|---|---|---|---|---|
| I20050509000465 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,386 | 578 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,020 | 751 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,017 | 721 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 558 | 484 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 547 | 446 | $0 |
Insurance plans in this area (ZIP 31525)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| D E R M A T O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | MO |
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