LORETTA CHURCH (PA-C) – Physician Assistant, NPI 1982168415
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for LORETTA CHURCH (PA-C)
215, North Coleman Street, Swainsboro, Emanuel County, Georgia, 30401, United States
SWAINSBORO, GA 304013530
Phone: (478) 237-6262
Fax: (478) 237-9138
Type: Mailing
1570, Brampton Avenue, Somerset, Statesboro, Bulloch County, Georgia, 30458, United States
STATESBORO, GA 304580855
Phone: (912) 764-9196
Fax: (478) 237-9138
Type: Location
537 UNION AVE
GRANTS PASS, OR 975275543
Phone: (541) 507-2050
Type: Mailing
PO BOX 1517
PENDLETON, OR 978010410
Phone: (877) 708-1119
Fax: (541) 278-8349
Type: Mailing
1001 MOLALLA AVE STE 100
OREGON CITY, OR 970453753
Phone: (503) 656-5273
Fax: (503) 650-4828
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $294.
Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($133).
Total Amount
$294
General + Research + Ownership
Payments
10
Total payment records
General Amount
$294
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20200114003206 | I | Physician Assistant | GA | TBD |
| I20210603003288 | I | Physician Assistant | OR | TBD |
| I20230609000797 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 103 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 85 | 56 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 81 | 43 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 60 | 45 | $0 |
| 73502 | X-ray of hip, 2-3 views | 56 | 41 | $0 |
Insurance plans in this area (ZIP 30401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Nurse Practitioner | OR | |
| A L L E R G Y/ I M M U N O L O G Y | OR | |
| - | OR | |
| Family Practice | OR | |
| - | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Nurse Practitioner | OR |
Reviews
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