CORY M STANLEY (PA) – Physician Assistant, NPI 1992825152

Physician Assistant

CORY M STANLEY (PA) is a healthcare provider. based in Savannah, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0010-01166 (NC). The NPI Number for CORY M STANLEY (PA) is 1992825152

Main info

Male

19 Years Of Experience

Accepts Medicare Assignment

Name

CORY M STANLEY (PA)

NPI

1992825152

Phone

(912) 201-1140

Address

5730 OGEECHEE RD

Enumeration Date

30 March 2007

Last Update Date

9 May 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5617257180

Graduation Year

2007 (19 years ago)

PAC ID

1759487655

Group Practice PAC ID

1456889922

Professional Enrollment ID

I20130604000747

Address ID

FL334784723JU10094RDXX401

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience80

Completeness75

Years active:19State licenses:3Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for CORY M STANLEY (PA)

5730 OGEECHEE RD
SUITE 192
SAVANNAH, GA 314059521
Phone: (912) 201-1140
Type: Mailing
1103 LAKESHORE DR
JUPITER, FL 334588390
Phone: (828) 275-1860
Type: Mailing
9060 N Military Trl
Palm Beach Gardens, FL 334105972
Phone: (561) 295-8822
Type: Location
3245 PEACHTREE PKWY # D188
SUWANEE, GA 300246054
Phone: (888) 353-6843
Fax: (912) 303-7167
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: 2013-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20070510000122	I	Physician Assistant	GA	TBD
I20130604000747	I	Physician Assistant	FL	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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	233	224	$0
99204	New patient office or other outpatient visit, 45-59 minutes	142	142	$0
99203	New patient office or other outpatient visit, 30-44 minutes	22	22	$0
87428	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	21	21	$0

View full utilization report →

Insurance plans in this area (ZIP 31405)

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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: 1456889922View full group profile