MR. MANUEL JR. CHAVEZ (CAA) – Anesthesiologist Assistant, NPI 1619690344

MR. MANUEL JR. CHAVEZ (CAA) is a healthcare provider. based in Tifton, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. The NPI Number for MR. MANUEL JR. CHAVEZ (CAA) is 1619690344

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. MANUEL JR. CHAVEZ (CAA)
NPI
1619690344
Phone
Not provided
Address
901 18TH ST E
Enumeration Date
19 September 2022
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293536188
Graduation Year
2022 (4 years ago)
PAC ID
5496121386
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20221018001567
Address ID
GA317942749TI2227XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for MR. MANUEL JR. CHAVEZ (CAA)

  • 901 18TH ST E

    TIFTON, GA 317943648

    Phone:

    Mailing address matches the actual address.

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: 2022-10-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221018001567IAnesthesiology AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062745169View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA

Reviews

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Frequently asked questions

What number should I use to identify MR. MANUEL JR. CHAVEZ (CAA) for billing?
Administrative and clinical systems typically use NPI 1619690344 for MR. MANUEL JR. CHAVEZ (CAA).
Should I treat MR. MANUEL JR. CHAVEZ (CAA) as an active provider?
Patients and plans typically see MR. MANUEL JR. CHAVEZ (CAA) as active in the national extract.
What type of care does MR. MANUEL JR. CHAVEZ (CAA) provide?
MR. MANUEL JR. CHAVEZ (CAA)'s profile centers on Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is MR. MANUEL JR. CHAVEZ (CAA) tied to Tifton, Georgia?
If you are local to Tifton, Georgia, MR. MANUEL JR. CHAVEZ (CAA) may be relevant to your search.
Who maintains MR. MANUEL JR. CHAVEZ (CAA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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