Unknown Individual – Surgical Physician Assistant, NPI 1821025958
Surgical Physician Assistant
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Profile Insights
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Provider Addresses for Unknown Individual
16915 HIGHWAY 67 SOUTH
SUITE A
STATESBORO, GA 30458
Phone: (912) 681-2500
Fax: (912) 644-5270
Type: Location
Savannah Christian Preparatory School, Oak Forest Drive, DeRenne Terrace, Savannah, Chatham County, Georgia, 31404, United States
SAVANNAH, GA 31405
Phone: (912) 644-5300
Fax: (912) 644-5270
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 773 | 133 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 353 | 219 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 187 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 116 | 109 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 95 | 81 | $0 |
Insurance plans in this area (ZIP 30458)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Orthopedic Surgery | GA | |
| Physician Assistant | SC | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | TX | |
| Physician Assistant | MO | |
| Physical Therapist In Private Practice | GA | |
| Family Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA |
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