MRS. BRANDY NICHOLS OWENS (PA) – Physician Assistant, NPI 1619128741
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. BRANDY NICHOLS OWENS (PA)
1514 VERNON RD
LAGRANGE, GA 302404131
Phone: (706) 880-7222
Type: Mailing
Tanner Medical Center, 705, Dixie Street, Carrollton, Carroll County, Georgia, 30117, United States
EMERGENCY DEPARTMENT
CARROLLTON, GA 301173818
Phone: (770) 836-9597
Type: Mailing
705 Dixie St
Carrollton, GA 301173818
Phone: (770) 836-9597
Type: Location
600 Celebrate Life Pkwy
Newnan, GA 302658001
Phone: (770) 400-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $323.
Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($89).
Total Amount
$323
General + Research + Ownership
Payments
6
Total payment records
General Amount
$323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $89 |
| Medtronic, Inc. | $88 |
| Pulmonx Corporation | $82 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $32 |
| ABBVIE INC. | $32 |
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: 2008-11-11
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 |
|---|---|---|---|---|
| I20081111000386 | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 53 | 34 | $0 |
Insurance plans in this area (ZIP 30240)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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