CLINTON RUSHING (PA) – Physician Assistant, NPI 1780070409

CLINTON RUSHING (PA) is a healthcare provider. based in Evans, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for CLINTON RUSHING (PA) is 1780070409

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON RUSHING (PA)
NPI
1780070409
Phone
(706) 466-4732
Address
312 BUXTON LANE
Enumeration Date
9 April 2015
Last Update Date
9 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
7719291335
Group Practice PAC ID
9234028358
Professional Enrollment ID
I20150727001922
Address ID
GA308093189Ev465XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for CLINTON RUSHING (PA)

  • 312 BUXTON LANE

    EVANS, GA 30809

    Phone: (706) 466-4732

    Type: Mailing

  • 3651 WHEELER RD

    AUGUSTA, GA 309096521

    Phone: (706) 651-3232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 260 Open Payments records for all available years, with a total value of $3,979.

Total Amount is formed as General ($3,979) + Research ($0) + Ownership ($0) = $3,979.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($743).

Total Amount

$3,979

General + Research + Ownership

Payments

260

Total payment records

General Amount

$3,979

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150727001922IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes346267$0
99214Established patient office or other outpatient visit, 30-39 minutes221196$0
87804Detection test by immunoassay with direct visual observation for influenza virus19690$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus154140$0
81003Automated urinalysis test10093$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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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: 9234028358View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA
Family PracticeGA
Family Practice, General Practice, Preventive MedicineTX
Family PracticeGA
Family PracticeGA

Reviews

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Frequently asked questions

Can I cross-check CLINTON RUSHING (PA) using NPI 1780070409?
NPI 1780070409 belongs to CLINTON RUSHING (PA); compare other details if you need extra assurance.
Is there an active status for CLINTON RUSHING (PA)?
For scheduling context, CLINTON RUSHING (PA) is shown as active in the registry.
What expertise is attributed to CLINTON RUSHING (PA)?
CLINTON RUSHING (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CLINTON RUSHING (PA) located near Evans?
CLINTON RUSHING (PA) currently maps to Evans, Georgia in this extract.
Can I trust this NPI listing for CLINTON RUSHING (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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