AUTUMN VENTURELLI (PA) – Physician Assistant, NPI 1376208033
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for AUTUMN VENTURELLI (PA)
19 COACH LEE HILL BLVD
STATESBORO, GA 304584700
Phone:
Type: Mailing
100 RUSTIC DR
GUYTON, GA 313125284
Phone: (912) 429-2098
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 130 Open Payments records for all available years, with a total value of $2,639.
Total Amount is formed as General ($2,639) + Research ($0) + Ownership ($0) = $2,639.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,139).
Total Amount
$2,639
General + Research + Ownership
Payments
130
Total payment records
General Amount
$2,639
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,139 |
| Janssen Biotech, Inc. | $367 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $210 |
| QOL Medical, LLC | $124 |
| Axsome Therapeutics, Inc. | $115 |
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: 2022-12-15
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 |
|---|---|---|---|---|
| I20221215001310 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 33 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 31 | 15 | $0 |
Insurance plans in this area (ZIP 30458)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Gastroenterology, Internal Medicine | GA | |
| Nurse Practitioner | GA |
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