MR. ULYS RANDALL RINER (PA) – Physician Assistant, NPI 1629219118
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MR. ULYS RANDALL RINER (PA)
1301 SIGMAN RD NE STE 230
CONYERS, GA 300123819
Phone: (678) 609-4912
Type: Mailing
1061 DOWDY ROAD
SUITE 101
ATHENS, GA 306063819
Phone: (706) 621-7575
Fax: (833) 305-0340
Type: Mailing
855 W BROAD ST STE A
ATHENS, GA 306012511
Phone: (706) 621-7575
Fax: (833) 305-0340
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $701.
Total Amount is formed as General ($701) + Research ($0) + Ownership ($0) = $701.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($154).
Total Amount
$701
General + Research + Ownership
Payments
38
Total payment records
General Amount
$701
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-01-11
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 |
|---|---|---|---|---|
| I20110111000106 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| - | GA |
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