STACY H. KENDRICK (PA) – Physician Assistant, NPI 1821064395
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for STACY H. KENDRICK (PA)
2041 MESA VALLEY WAY
SUITE 100
AUSTELL, GA 301068157
Phone: (770) 944-1100
Fax: (770) 944-6469
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-11-18
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 |
|---|---|---|---|---|
| I20051118000554 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 54 | 29 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 50 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 43 | 30 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 30 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 27 | 23 | $0 |
Insurance plans in this area (ZIP 30106)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | GA | |
| - | GA | |
| Diagnostic Radiology | GA | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | NJ | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA |
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