STEPHANIE DIANE GOEMAN (PA) – Physician Assistant, NPI 1508160482
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for STEPHANIE DIANE GOEMAN (PA)
4255 GRANBY CIR
CUMMING, GA 300415806
Phone: (813) 389-2520
Type: Mailing
35 COLLIER RD NW
ATLANTA, GA 303091613
Phone: (404) 355-7219
Type: Location
1069 LILLIAN LN
GALLATIN, TN 370664561
Phone: (813) 389-2520
Type: Mailing
1214 GALLATIN AVE
NASHVILLE, TN 372063242
Phone: (615) 988-1620
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: 2017-07-19
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 |
|---|---|---|---|---|
| I20110520000353 | I | Physician Assistant | GA | TBD |
| I20170719004086 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 67 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 29 | $0 |
Insurance plans in this area (ZIP 30041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| - | TN | |
| - | SC | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| Nurse Practitioner | SC |
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