CASEY JEAN BOLTON (PA-C) – Medical Physician Assistant, NPI 1629462056
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for CASEY JEAN BOLTON (PA-C)
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 533-4786
Type: Mailing
835 Austin Dr
Demorest, GA 305354513
Phone: (706) 754-8518
Fax: (706) 754-6238
Type: Location
801 Austin Dr
Demorest, GA 305354513
Phone: (706) 754-8066
Fax: (706) 754-8086
Type: Location
725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 305013834
Phone: (678) 207-4373
Fax: (770) 533-4727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $813.
Total Amount is formed as General ($813) + Research ($0) + Ownership ($0) = $813.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($150).
Total Amount
$813
General + Research + Ownership
Payments
43
Total payment records
General Amount
$813
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
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: 2015-07-27
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 |
|---|---|---|---|---|
| I20150727002319 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 702 | 268 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 316 | 164 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 307 | 157 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 295 | 160 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 260 | 153 | $0 |
Insurance plans in this area (ZIP 30503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| General Surgery | GA | |
| Diagnostic Radiology | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| Certified Nurse Midwife (Cnm) | GA |
Reviews
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