RICHARD JOHN STAIE (P.A.) – Anesthesiologist Assistant, NPI 1659353357

RICHARD JOHN STAIE (P.A.) is a healthcare provider. based in Douglasville, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 003918 (GA). The NPI Number for RICHARD JOHN STAIE (P.A.) is 1659353357

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RICHARD JOHN STAIE (P.A.)
NPI
1659353357
Phone
(770) 920-6413
Address
8954 HOSPITAL DR
Enumeration Date
17 November 2005
Last Update Date
29 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034383999
Graduation Year
2002 (24 years ago)
PAC ID
1951379130
Group Practice PAC ID
6002072055
Professional Enrollment ID
I20230329000595
Address ID
CO809232604CO6011XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

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Provider Addresses for RICHARD JOHN STAIE (P.A.)

  • WellStar Douglas Hospital, 8954, Hospital Drive, Anneewakee Heights, Douglasville, Douglas County, Georgia, 30134, United States

    DOUGLASVILLE, GA 301342272

    Phone: (770) 920-6413

    Fax: (678) 838-2532

    Type: Location

  • 610 ACADIA DR # 7131

    ELLIJAY, GA 305405986

    Phone: (770) 634-1287

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($126).

Total Amount

$168

General + Research + Ownership

Payments

3

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-05

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: 2023-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040924000493IAnesthesiology AssistantGATBD
I20230329000595IAnesthesiology AssistantCOTBD

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
01402Anesthesia for procedure for total knee joint replacement1616$0
00670Anesthesia for extensive surgery on spine1313$0
View full utilization report →

Insurance plans in this area (ZIP 30134)

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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: 6002072055View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCO
-CO
-CO
-CO
-CO
Anesthesiology AssistantCO
-CO
A N E S T H E S I O L O G YCO
-CO
A N E S T H E S I O L O G YCOLORADO

Reviews

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Frequently asked questions

What number should I use to identify RICHARD JOHN STAIE (P.A.) for billing?
Administrative and clinical systems typically use NPI 1659353357 for RICHARD JOHN STAIE (P.A.).
Quick check: is RICHARD JOHN STAIE (P.A.) active?
Public NPPES data shows RICHARD JOHN STAIE (P.A.) with an active NPI status right now.
What does the directory say RICHARD JOHN STAIE (P.A.) does?
Insurance directories may phrase it differently, but here RICHARD JOHN STAIE (P.A.) maps to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is RICHARD JOHN STAIE (P.A.) tied to Douglasville, Georgia?
If you are local to Douglasville, Georgia, RICHARD JOHN STAIE (P.A.) may be relevant to your search.
Who maintains RICHARD JOHN STAIE (P.A.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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