MR. RAYMOND EUGENE POLK (PA-C) – Medical Physician Assistant, NPI 1467454314
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
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Provider Addresses for MR. RAYMOND EUGENE POLK (PA-C)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
Ansley Drive, Dahlonega, Lumpkin County, Georgia, 30597, United States
DAHLONEGA, GA 305331642
Phone: (706) 864-1580
Fax: (770) 219-9561
Type: Location
59 Tipton Dr
Dahlonega, GA 305331603
Phone: (706) 864-4012
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $231.
Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.
Last reported payment date: 2024-03-26 • Largest payer in this snapshot: ABBVIE INC. ($58).
Total Amount
$231
General + Research + Ownership
Payments
13
Total payment records
General Amount
$231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $58 |
| Novo Nordisk Inc | $44 |
| Lilly USA, LLC | $39 |
| PFIZER INC. | $37 |
| Exact Sciences Corporation | $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: 2012-04-23
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 |
|---|---|---|---|---|
| I20120423000220 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 327 | 148 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 137 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 170 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 126 | 90 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 123 | 123 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Family Practice | GA | |
| - | GA | |
| General Surgery | IL | |
| Nurse Practitioner | GA |
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