JENNIFER E. MUMFORD (PA-C) – Medical Physician Assistant, NPI 1437278140
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for JENNIFER E. MUMFORD (PA-C)
4350 TOWNE CENTRE DR STE 3200
EVANS, GA 308093333
Phone: (706) 863-3790
Type: Location
6095 MARSHALEE DR
STE 100
ELKRIDGE, MD 210756053
Phone: (410) 739-7311
Fax: (410) 379-3590
Type: Mailing
6095 Marshalee Dr
Ste 100
Elkridge, MD 210756053
Phone: (410) 739-7311
Fax: (410) 379-3590
Type: Location
302 University Pkwy
Aiken, SC 298016302
Phone: (803) 641-5100
Type: Location
302 UNIVERSITY PKWY
AIKEN, SC 298016302
Phone: (803) 641-5100
Type: Location
12 CAW CAW CT
AIKEN, SC 298035804
Phone: (410) 739-7311
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,729.
Total Amount is formed as General ($1,729) + Research ($0) + Ownership ($0) = $1,729.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Abbott Laboratories ($546).
Total Amount
$1,729
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,729
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $546 |
| ABBVIE INC. | $456 |
| Azurity Pharmaceuticals, Inc. | $271 |
| PFIZER INC. | $156 |
| IBSA Pharma Inc. | $67 |
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: 2025-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160218000075 | I | Physician Assistant | SC | TBD |
| I20251008000419 | 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 30809)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | SC |
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