VIVIAN M HUTTON (PA-C) – Medical Physician Assistant, NPI 1477548626

VIVIAN M HUTTON (PA-C) is a healthcare provider. based in Lagrange, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 002475 (GA). The NPI Number for VIVIAN M HUTTON (PA-C) is 1477548626

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
VIVIAN M HUTTON (PA-C)
NPI
1477548626
Phone
(706) 242-5100
Address
1602 Vernon Rd Ste 300
Enumeration Date
14 September 2005
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
7704248222
Graduation Year
1987 (39 years ago)
PAC ID
3577688035
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20100922000276
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
vhutton134973@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for VIVIAN M HUTTON (PA-C)

  • 1602 Vernon Rd Ste 300

    LaGrange, GA 302404129

    Phone: (706) 242-5100

    Type: Location

  • 1551, Doctors Drive, LaGrange, Troup County, Georgia, 30240, United States

    BUILDING 200

    LAGRANGE, GA 302404139

    Phone: (706) 884-2641

    Fax: (706) 884-2353

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $960.

Total Amount is formed as General ($960) + Research ($0) + Ownership ($0) = $960.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($202).

Total Amount

$960

General + Research + Ownership

Payments

46

Total payment records

General Amount

$960

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100922000276IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85610Blood test, clotting time10334$0
93793Anticoagulant management of patient taking warfarin9434$0
99213Established patient office or other outpatient visit, 20-29 minutes8363$0
99214Established patient office or other outpatient visit, 30-39 minutes3333$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2121$0
View full utilization report →

Insurance plans in this area (ZIP 30240)

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Provider's Procedures

VIVIAN M HUTTON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA85610Blood test, clotting time1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What is the standard ID for VIVIAN M HUTTON (PA-C) in the U.S.?
In the U.S., VIVIAN M HUTTON (PA-C) is identified by NPI 1477548626.
Is VIVIAN M HUTTON (PA-C)'s NPI status active today?
Active status means VIVIAN M HUTTON (PA-C)'s NPI record is not deactivated in the public file.
What type of care does VIVIAN M HUTTON (PA-C) provide?
VIVIAN M HUTTON (PA-C)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VIVIAN M HUTTON (PA-C)?
VIVIAN M HUTTON (PA-C) is associated with Lagrange, Georgia in the same public data insurers reference.
Can I export VIVIAN M HUTTON (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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