CHANDLER HOWELL LUTER (PA) – Physician Assistant, NPI 1497586630
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for CHANDLER HOWELL LUTER (PA)
603 Wheat Ave
Bainbridge, GA 398194360
Phone: (229) 246-3608
Type: Location
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 323084470
Phone: (850) 877-8174
Type: Location
5901 E FOWLER AVE STE 100
TEMPLE TERRACE, FL 336172305
Phone: (813) 978-9700
Type: Mailing
2605 WELAUNEE BLVD
TALLAHASSEE, FL 323084697
Phone: (850) 877-8174
Type: Location
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: 2025-12-08
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 |
|---|---|---|---|---|
| I20250603003310 | I | Physician Assistant | FL | TBD |
| I20251208003862 | 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 39819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Occupational Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL |
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