CHERYLANCE PONDER FARNUM (PA-C) – Physician Assistant, NPI 1730124868
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,463 PHYSICIAN ASSISTANT in GA
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Provider Addresses for CHERYLANCE PONDER FARNUM (PA-C)
5345 STONE CROFT TRL SW
ATLANTA, GA 303317699
Phone: (404) 447-2496
Type: Mailing
777 CLEVELAND AVE SW STE 604
ATLANTA, GA 303157116
Phone: (404) 305-0004
Fax: (404) 305-0494
Type: Mailing
Cleveland Avenue, Chester-le-Street, County Durham, North East England, England, DH2 3BA, United Kingdom
SUITE C
EAST POINT, GA 303443600
Phone: (404) 305-0004
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $44.
Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($22).
Total Amount
$44
General + Research + Ownership
Payments
2
Total payment records
General Amount
$44
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $22 |
| Novo Nordisk Inc | $22 |
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: 2012-07-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20120726000438 | 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 |
|---|---|---|---|---|
| 99292 | Critical care, each additional 30 minutes | 44 | 15 | $0 |
| 99291 | Critical care, first 30-74 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 30331)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| - | CA | |
| Physician Assistant | GA | |
| - | GA | |
| - | GA | |
| - | CA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA |
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