KATIE BODYCOMB COVINGTON (PA) – Medical Physician Assistant, NPI 1407893217

KATIE BODYCOMB COVINGTON (PA) is a healthcare provider. based in Woodstock, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 003796 (GA). The NPI Number for KATIE BODYCOMB COVINGTON (PA) is 1407893217

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
KATIE BODYCOMB COVINGTON (PA)
NPI
1407893217
Phone
(770) 516-5199
Address
100 STONEFOREST DR STE 320
Enumeration Date
1 June 2006
Last Update Date
9 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705165199
Graduation Year
2001 (25 years ago)
PAC ID
8426091232
Group Practice PAC ID
0648346726
Professional Enrollment ID
I20050602000883
Address ID
GA301894881WO100XXDRXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for KATIE BODYCOMB COVINGTON (PA)

  • Stoneforest Drive, Woodstock, Cherokee County, Georgia, 30189, United States

    WOODSTOCK, GA 301894881

    Phone: (770) 516-5199

    Fax: (678) 213-1851

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 124 Open Payments records for all available years, with a total value of $2,261.

Total Amount is formed as General ($2,261) + Research ($0) + Ownership ($0) = $2,261.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($421).

Total Amount

$2,261

General + Research + Ownership

Payments

124

Total payment records

General Amount

$2,261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2005-06-02

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
I20050602000883IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths416101$0
99213Established patient office or other outpatient visit, 20-29 minutes300248$0
17000Destruction of precancer skin growth, 1 growth182153$0
11102Biopsy of related skin growth, first growth165145$0
17110Destruction of skin growth, 1-14 growths7766$0
View full utilization report →

Insurance plans in this area (ZIP 30189)

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Provider's Procedures

KATIE BODYCOMB COVINGTON (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA11101Biopsy of each additional growth of skin and/or tissue5434
PHYSICIAN ASSISTANTGA17003Destruction of 2-14 skin growths33462

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: 0648346726View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YTN
Physician AssistantGA
P A T H O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

How do I look up KATIE BODYCOMB COVINGTON (PA) by NPI?
Use NPI 1407893217 when you need to reference KATIE BODYCOMB COVINGTON (PA) in forms, claims, or directories.
Is KATIE BODYCOMB COVINGTON (PA)'s NPI currently valid?
The extract we use shows KATIE BODYCOMB COVINGTON (PA) as active.
Does KATIE BODYCOMB COVINGTON (PA) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for KATIE BODYCOMB COVINGTON (PA). Clinical services aligned with this taxonomy classification.
What location shows for KATIE BODYCOMB COVINGTON (PA)?
We surface Woodstock, Georgia for KATIE BODYCOMB COVINGTON (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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