JOHN MATTHEW TOLBERT (PA-C) – Physician Assistant, NPI 1811961345

JOHN MATTHEW TOLBERT (PA-C) is a healthcare provider. based in Carrollton, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1331 (GA). The NPI Number for JOHN MATTHEW TOLBERT (PA-C) is 1811961345

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MATTHEW TOLBERT (PA-C)
NPI
1811961345
Phone
(770) 838-9333
Address
157 CLINIC AVE
Enumeration Date
13 February 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7705208561
Graduation Year
2005 (21 years ago)
PAC ID
2860406857
Group Practice PAC ID
1456397660
Professional Enrollment ID
I20060130000222
Address ID
GA302652434NE354XXBYPX402
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 JOHN MATTHEW TOLBERT (PA-C)

  • Clinic Avenue, Carrollton, Carroll County, Georgia, 30119, United States

    SUITE 301

    CARROLLTON, GA 301174413

    Phone: (770) 838-9333

    Fax: (770) 838-7755

    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 267 Open Payments records for all available years, with a total value of $6,633.

Total Amount is formed as General ($6,633) + Research ($0) + Ownership ($0) = $6,633.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: GENZYME CORPORATION ($1,020).

Total Amount

$6,633

General + Research + Ownership

Payments

267

Total payment records

General Amount

$6,633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2006-01-30

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
I20060130000222IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30117)

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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: 1456397660View full group profile
NameSpecialtyState
D E R M A T O L O G YGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YLA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Can I verify JOHN MATTHEW TOLBERT (PA-C) with an NPI only?
You can start verification with NPI 1811961345 for JOHN MATTHEW TOLBERT (PA-C), then check state licensing separately.
Is JOHN MATTHEW TOLBERT (PA-C) listed as active for patients and plans?
The listing shows JOHN MATTHEW TOLBERT (PA-C) as active in the NPI system.
What is JOHN MATTHEW TOLBERT (PA-C)'s primary classification?
Physician Assistant is the headline specialty for JOHN MATTHEW TOLBERT (PA-C) here. Clinical services aligned with this taxonomy classification.
What area does JOHN MATTHEW TOLBERT (PA-C) serve?
JOHN MATTHEW TOLBERT (PA-C)'s listing highlights Carrollton, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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