ASHLEY CHADWICK DIETERICH (PA-C) – Physician Assistant, NPI 1962816132
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for ASHLEY CHADWICK DIETERICH (PA-C)
6123 STELLA LIGHT DR
FLOWERY BRANCH, GA 305423445
Phone: (678) 358-0946
Type: Mailing
130 DIXIE MEADOW LN
CARROLLTON, GA 301176919
Phone: (678) 358-0946
Type: Mailing
705 DIXIE ST
CARROLLTON, GA 301173818
Phone: (770) 812-9597
Type: Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 300467694
Phone: (678) 312-1000
Type: Location
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: 2014-11-05
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 |
|---|---|---|---|---|
| I20141105001547 | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 29 | 29 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 27 | 27 | $0 |
| 99236 | Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 30542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Pediatric Medicine, Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA |
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