A MATTHEW BRUNNER (PA-C) – Physician Assistant, NPI 1811993223

A MATTHEW BRUNNER (PA-C) is a healthcare provider. based in Stockbridge, Georgia. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 003575 (GA). The NPI Number for A MATTHEW BRUNNER (PA-C) is 1811993223

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
A MATTHEW BRUNNER (PA-C)
NPI
1811993223
Phone
(770) 474-5952
Address
210 VILLAGE CENTER PKWY
Enumeration Date
22 June 2005
Last Update Date
24 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
7704745952
Graduation Year
2000 (26 years ago)
PAC ID
3274728217
Group Practice PAC ID
5193625945
Professional Enrollment ID
I20101116000481
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for A MATTHEW BRUNNER (PA-C)

  • Village Center Parkway, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302819044

    Phone: (770) 474-5952

    Fax: (770) 474-1300

    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 484 Open Payments records for all available years, with a total value of $381,007.

Total Amount is formed as General ($381,007) + Research ($0) + Ownership ($0) = $381,007.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($185,172).

Total Amount

$381,007

General + Research + Ownership

Payments

484

Total payment records

General Amount

$381,007

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2010-11-16

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
I20101116000481IPhysician 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 30281)

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Provider's Procedures

A MATTHEW BRUNNER (PA-C) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTGA11101Biopsy of each additional growth of skin and/or tissue8459

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: 5193625945View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YPR
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

Can I use this page to confirm A MATTHEW BRUNNER (PA-C)'s NPI?
Yes. A MATTHEW BRUNNER (PA-C) is listed with NPI 1811993223 in the public NPI dataset.
Is A MATTHEW BRUNNER (PA-C) still practicing?
A MATTHEW BRUNNER (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes A MATTHEW BRUNNER (PA-C)?
For research purposes, treat A MATTHEW BRUNNER (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect A MATTHEW BRUNNER (PA-C) on a map?
Expect Stockbridge, Georgia as a primary anchor for A MATTHEW BRUNNER (PA-C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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