COE MICHAEL MCGRATH (PA) – Medical Physician Assistant, NPI 1629012604

COE MICHAEL MCGRATH (PA) is a healthcare provider. based in Blue ridge, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 003567 (GA). The NPI Number for COE MICHAEL MCGRATH (PA) is 1629012604

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
COE MICHAEL MCGRATH (PA)
NPI
1629012604
Phone
(706) 946-4227
Address
101 RIVERSTONE VIS STE 215
Enumeration Date
16 June 2006
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4067557555
Graduation Year
2007 (19 years ago)
PAC ID
5698851061
Group Practice PAC ID
5193617223
Professional Enrollment ID
I20240924003105
Address ID
MT599011904KA175XXLOOP302

Contacts

Secure Messaging
jychung@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness95
Years active:19State licenses:2Other names

4,431 PHYSICIAN ASSISTANT in GA

Provider Addresses for COE MICHAEL MCGRATH (PA)

  • 101 RIVERSTONE VIS STE 215

    BLUE RIDGE, GA 305136665

    Phone: (706) 946-4227

    Fax: (706) 258-4715

    Type: Location

  • 175 Commons Loop Ste 300

    Kalispell, MT 599011904

    Phone: (406) 756-7555

    Type: Location

  • 485 N CHANCERY ST STE B

    MCMINNVILLE, TN 371102005

    Phone: (931) 304-8585

    Fax: (706) 258-4715

    Type: Location

  • 175 COMMONS LOOP STE 300

    KALISPELL, MT 599011904

    Phone: (406) 756-7555

    Type: Mailing

  • Gainesville Post Office, 4600, Southwest 34th Street, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, GA 305032938

    Phone: (770) 536-2146

    Fax: (770) 536-7895

    Type: Mailing

  • 3810 CENTRAL PIKE

    HERMITAGE, TN 370763494

    Phone: (815) 744-8554

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $906.

Total Amount is formed as General ($906) + Research ($0) + Ownership ($0) = $906.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($428).

Total Amount

$906

General + Research + Ownership

Payments

35

Total payment records

General Amount

$906

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20080326000032IPhysician AssistantGATBD
I20161014000183IPhysician AssistantNCTBD
I20220802000864IPhysician AssistantTNTBD
I20240924003105IPhysician AssistantMTTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,806267$0
99213Established patient office or other outpatient visit, 20-29 minutes961569$0
17000Destruction of precancer skin growth, 1 growth513344$0
17110Destruction of skin growth, 1-14 growths378286$0
11102Biopsy of related skin growth, first growth207188$0
View full utilization report →

Insurance plans in this area (ZIP 30513)

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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: 5193617223View full group profile
NameSpecialtyState
Physician AssistantMT
-MT
D E R M A T O L O G YMT
Physician AssistantHI
D E R M A T O L O G YMT
D E R M A T O L O G YUT
Physician AssistantMT
Physician AssistantMT
D E R M A T O L O G YMT

Reviews

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Frequently asked questions

Can I cross-check COE MICHAEL MCGRATH (PA) using NPI 1629012604?
NPI 1629012604 belongs to COE MICHAEL MCGRATH (PA); compare other details if you need extra assurance.
Would COE MICHAEL MCGRATH (PA) appear as active to a payer?
You can treat COE MICHAEL MCGRATH (PA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe COE MICHAEL MCGRATH (PA)'s focus?
For COE MICHAEL MCGRATH (PA), the primary taxonomy reads as Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for COE MICHAEL MCGRATH (PA)?
Travel planning: use Blue Ridge, Georgia as the reference point for COE MICHAEL MCGRATH (PA), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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