JASON DALE ANDERSON (PA) – Family Medicine Physician, NPI 1588759211
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for JASON DALE ANDERSON (PA)
1301 Well Brook Circle
Conyers, GA 300123873
Phone: (770) 922-3023
Fax: (770) 929-1016
Type: Location
1301 WELL BROOK CIRCLE
CONYERS, GA 300123873
Phone: (770) 922-3023
Fax: (770) 929-1016
Type: Location
105 FISCHER MARKETPLACE LN STE 100
SHARPSBURG, GA 302773680
Phone: (678) 633-3260
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 102 Open Payments records for all available years, with a total value of $2,120.
Total Amount is formed as General ($2,120) + Research ($0) + Ownership ($0) = $2,120.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: ABBVIE INC. ($308).
Total Amount
$2,120
General + Research + Ownership
Payments
102
Total payment records
General Amount
$2,120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $308 |
| Otsuka America Pharmaceutical, Inc. | $266 |
| Medtronic, Inc. | $199 |
| Xeris Pharmaceuticals, Inc. | $156 |
| Lilly USA, LLC | $114 |
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: 2010-11-17
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 |
|---|---|---|---|---|
| I20101117000987 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 158 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 80 | $0 |
| G0109 | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes | 75 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $0 |
| 81003 | Automated urinalysis test | 27 | 26 | $0 |
Insurance plans in this area (ZIP 30012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | OH | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA |
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