BAXTER COLLIER (PA-C) – Physician Assistant, NPI 1902797673

BAXTER COLLIER (PA-C) is a healthcare provider. based in Gainesville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 13194 (GA). The NPI Number for BAXTER COLLIER (PA-C) is 1902797673

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BAXTER COLLIER (PA-C)
NPI
1902797673
Phone
(678) 430-3110
Address
1475 JESSE JEWELL PKWY NE STE 300
Enumeration Date
11 July 2025
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784303110
Graduation Year
2025 (1 year ago)
PAC ID
8426548629
Group Practice PAC ID
9830350735
Professional Enrollment ID
I20251106002181
Address ID
GA305013806GA1475XNEXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for BAXTER COLLIER (PA-C)

  • 1475 JESSE JEWELL PKWY NE STE 300

    GAINESVILLE, GA 305013806

    Phone: (678) 430-3110

    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: 2025-11-06

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
I20251106002181IPhysician 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 30501)

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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: 9830350735View full group profile
NameSpecialtyState
-NV
Internal Medicine, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Internal MedicineKY
Physician AssistantGA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Physician AssistantGA
Physician AssistantGA
Cardiovascular Disease (Cardiology)NY
Cardiovascular Disease (Cardiology), Internal MedicineGA

Reviews

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Frequently asked questions

What is the registry number for BAXTER COLLIER (PA-C)?
The registry entry for BAXTER COLLIER (PA-C) shows NPI 1902797673.
Is BAXTER COLLIER (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists BAXTER COLLIER (PA-C) as active.
What type of care does BAXTER COLLIER (PA-C) provide?
BAXTER COLLIER (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to BAXTER COLLIER (PA-C)?
BAXTER COLLIER (PA-C) shows a connection to Gainesville, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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