AUTUMN WALTON MONGO (PA-C) – Physician Assistant, NPI 1427662964
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for AUTUMN WALTON MONGO (PA-C)
1451 HIGHWAY 21 S STE H
SPRINGFIELD, GA 313295244
Phone: (912) 754-1035
Fax: (912) 754-1037
Type: Location
102 ROSEWOOD DR
GUYTON, GA 313126140
Phone: (828) 506-5154
Type: Mailing
800 MAIN ST STE 120
HILTON HEAD ISLAND, SC 299261657
Phone: (843) 342-3202
Fax: (843) 342-3206
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2023-09-14 • Largest payer in this snapshot: ABBVIE INC. ($59).
Total Amount
$175
General + Research + Ownership
Payments
9
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $59 |
| Amgen Inc. | $36 |
| AstraZeneca Pharmaceuticals LP | $32 |
| GlaxoSmithKline, LLC. | $27 |
| PFIZER INC. | $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: 2023-10-11
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 |
|---|---|---|---|---|
| I20231011002375 | 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 31329)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.