MRS. DAVINA SARA BRASELTON (PA-C) – Physician Assistant, NPI 1659329514

MRS. DAVINA SARA BRASELTON (PA-C) is a healthcare provider. based in Gainesville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0044136 (GA). The NPI Number for MRS. DAVINA SARA BRASELTON (PA-C) is 1659329514

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DAVINA SARA BRASELTON (PA-C)
NPI
1659329514
Phone
(770) 538-0208
Address
605 S. ENOTA DR.
Enumeration Date
4 May 2006
Last Update Date
18 December 2008

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
7214990654
Group Practice PAC ID
0840271235
Professional Enrollment ID
I20041108000348
Address ID
GA305012437GA605XXNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MRS. DAVINA SARA BRASELTON (PA-C)

  • Enota Drive, Sidney on Lanier, Gainesville, Hall County, Georgia, 30503, United States

    GAINESVILLE, GA 30501

    Phone: (770) 538-0208

    Fax: (770) 538-0556

    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)

CMS reports 308 Open Payments records for all available years, with a total value of $8,824.

Total Amount is formed as General ($8,824) + Research ($0) + Ownership ($0) = $8,824.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,357).

Total Amount

$8,824

General + Research + Ownership

Payments

308

Total payment records

General Amount

$8,824

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2004-11-08

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
I20041108000348IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths1,138199$0
99213Established patient office or other outpatient visit, 20-29 minutes693559$0
17000Destruction of precancer skin growth, 1 growth345274$0
11102Biopsy of related skin growth, first growth251210$0
17110Destruction of skin growth, 1-14 growths217183$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Provider's Procedures

MRS. DAVINA SARA BRASELTON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA11101Biopsy of each additional growth of skin and/or tissue9864
PHYSICIAN ASSISTANTGA17003Destruction of 2-14 skin growths1280221

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: 0840271235View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Dermatology, Micrographic Dermatologic Surgery (Mds)GA
Physician AssistantNC
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Where can patients find MRS. DAVINA SARA BRASELTON (PA-C)'s NPI?
You can confirm MRS. DAVINA SARA BRASELTON (PA-C) with NPI 1659329514; it appears in the national provider directory.
Is MRS. DAVINA SARA BRASELTON (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. DAVINA SARA BRASELTON (PA-C)'s specialty in plain language?
Clinically, the directory lists MRS. DAVINA SARA BRASELTON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. DAVINA SARA BRASELTON (PA-C)?
The snapshot lists Gainesville, Georgia for MRS. DAVINA SARA BRASELTON (PA-C); download NPPES for the complete set.
How can I contact MRS. DAVINA SARA BRASELTON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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