MARJORIE DRIESE (PA-C) – Physician Assistant, NPI 1417207903
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for MARJORIE DRIESE (PA-C)
868 YORK SVENUE
ATLANTA, GA 30310
Phone: (404) 756-8738
Type: Mailing
805 CAMPBELL HILL ST NW
MARIETTA, GA 300601144
Phone: (404) 756-6866
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $2,021.
Total Amount is formed as General ($2,021) + Research ($0) + Ownership ($0) = $2,021.
Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Emergent BioSolutions Inc. ($2,000).
Total Amount
$2,021
General + Research + Ownership
Payments
2
Total payment records
General Amount
$2,021
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Emergent BioSolutions Inc. | $2,000 |
| Hologic Sales and Service, LLC | $21 |
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: 2020-10-19
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 |
|---|---|---|---|---|
| I20201019000526 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice, Internal Medicine | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O P T O M E T R Y | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Clinical Social Worker | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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