STEPHANIE POLSINELLI (PA) – Medical Physician Assistant, NPI 1780912071
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for STEPHANIE POLSINELLI (PA)
5730 GLENRIDGE DR STE 100
SANDY SPRINGS, GA 303285579
Phone: (404) 816-3000
Fax: (404) 946-0404
Type: Location
1730 Lawrenceville Suwanee Rd
Lawrenceville, GA 300433507
Phone: (770) 338-0089
Fax: (770) 338-0091
Type: Location
18 Riverbend Dr SW Ste 100
Rome, GA 301616019
Phone: (706) 314-1900
Type: Location
790 Church St NE Ste 550
Marietta, GA 300608958
Phone: (404) 816-3000
Type: Location
1035 Southcrest Dr Ste 250
Stockbridge, GA 302816117
Phone: (678) 275-2200
Fax: (678) 275-2201
Type: Location
Lawrenceville Suwanee Road, Lawrenceville, Gwinnett County, Georgia, 30046, United States
LAWRENCEVILLE, GA 300433507
Phone: (770) 338-0089
Fax: (770) 338-0091
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $249.
Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: PFIZER INC. ($50).
Total Amount
$249
General + Research + Ownership
Payments
11
Total payment records
General Amount
$249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
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: 2010-10-25
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 |
|---|---|---|---|---|
| I20101025000645 | 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 |
|---|---|---|---|---|
| 80307 | Testing for presence of drug, by chemistry analyzers | 34 | 34 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 29 | 29 | $0 |
Insurance plans in this area (ZIP 30328)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management | GA | |
| Interventional Pain Management | GA | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | GA | |
| Pain Management | NC | |
| A N E S T H E S I O L O G Y | AL |
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