MANDY C STOUT (PA-C) – Medical Physician Assistant, NPI 1578619219
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for MANDY C STOUT (PA-C)
1700, Tree Lane, Snellville, Gwinnett County, Georgia, 30078, United States
SUITE 170
SNELLVILLE, GA 300786782
Phone: (770) 962-0399
Fax: (678) 252-3722
Type: Location
Walther Road Northwest, Lawrenceville, Gwinnett County, Georgia, 30243, United States
LAWRENCEVILLE, GA 300458725
Phone: (770) 962-0399
Fax: (678) 252-3722
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $2,749.
Total Amount is formed as General ($2,749) + Research ($0) + Ownership ($0) = $2,749.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Abbott Laboratories ($1,611).
Total Amount
$2,749
General + Research + Ownership
Payments
70
Total payment records
General Amount
$2,749
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
| Company | Amount |
|---|---|
| Abbott Laboratories | $1,611 |
| E.R. Squibb & Sons, L.L.C. | $293 |
| Novartis Pharmaceuticals Corporation | $264 |
| Amgen Inc. | $248 |
| CVRx, Inc. | $45 |
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: 2005-08-29
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 |
|---|---|---|---|---|
| I20050829000752 | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 197 | 185 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 132 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 123 | $0 |
| 93016 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 25 | 25 | $0 |
Insurance plans in this area (ZIP 30078)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Nurse Practitioner | GA | |
| Interventional Cardiology | GA | |
| Physician Assistant | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | MI | |
| Cardiovascular Disease (Cardiology) | OH | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | GA | |
| Cardiovascular Disease (Cardiology) | GA |
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