MRS. SANDRA E DECONZA (PA-C) – Medical Physician Assistant, NPI 1467418723
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 MRS. SANDRA E DECONZA (PA-C)
4300 N POINT PKWY STE 300
ALPHARETTA, GA 300224102
Phone: (770) 442-1911
Fax: (770) 442-0306
Type: Mailing
1495 HICKORY FLAT HWY STE 100
CANTON, GA 301154266
Phone: (678) 341-6360
Fax: (678) 626-7900
Type: Location
Long Island Community Hospital, 101, Hospital Road, Suffolk County, New York, 11772, United States
PATCHOGUE, NY 117724870
Phone: (631) 654-7195
Type: Location
2, Babcock Avenue, Lake Ronkonkoma, Town of Brookhaven, Suffolk County, New York, 11779, United States
RONKONKOMA, NY 117796705
Phone: (631) 676-6091
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-09-29
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 |
|---|---|---|---|---|
| I20160929002238 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 66 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 51 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 42 | 42 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 34 | 17 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 30 | 30 | $0 |
Insurance plans in this area (ZIP 30022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice, Physical Medicine And Rehabilitation | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA |
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