AMANDA SAN U PIPKIN (PA) – Surgical Physician Assistant, NPI 1841464732
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for AMANDA SAN U PIPKIN (PA)
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 533-4786
Type: Mailing
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
247 ADAMS DRIVE
DEMOREST, GA 30535
Phone: (706) 839-4096
Type: Location
1270, Friendship Road, Braselton, Hall County, Georgia, 30517, United States
BRASELTON, GA 305175608
Phone: (678) 207-4477
Fax: (678) 207-4478
Type: Location
655 Jesse Jewell Pkwy SE
Gainesville, GA 305013854
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
1945 Beverly Rd
Gainesville, GA 305012034
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
1240 Jesse Jewell Pkwy SE Ste 300
Gainesville, GA 305013861
Phone: (770) 533-7288
Fax: (770) 534-9800
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
1400 River Pl
Braselton, GA 305175600
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
801 Austin Dr
Demorest, GA 305354513
Phone: (706) 754-8066
Fax: (706) 754-8086
Type: Location
835 Austin Dr
Demorest, GA 305354513
Phone: (706) 754-8518
Fax: (706) 754-6238
Type: Location
1270 Friendship Rd
Braselton, GA 305175608
Phone: (678) 207-4477
Fax: (678) 207-4478
Type: Location
725 Jesse Jewell Pkwy SE
Gainesville, GA 305013834
Phone: (770) 532-7092
Fax: (770) 536-0383
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Bioventus LLC ($49).
Total Amount
$79
General + Research + Ownership
Payments
3
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $49 |
| Radius Health, Inc. | $31 |
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: 2008-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (889 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20081230000406 | I | Physician Assistant | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 912 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 177 | 138 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 160 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 159 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 122 | $0 |
Insurance plans in this area (ZIP 30503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| A N E S T H E S I O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Surgical Oncology, General Surgery | NJ | |
| Pulmonary Disease | NY |
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