MISS JOYCE AMA ADDO (MSPAS) – Medical Physician Assistant, NPI 1871881920

MISS JOYCE AMA ADDO (MSPAS) is a healthcare provider. based in Martin, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MSPAS. They hold a License No. PENDING (TN). The NPI Number for MISS JOYCE AMA ADDO (MSPAS) is 1871881920

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MISS JOYCE AMA ADDO (MSPAS)
NPI
1871881920
Phone
(731) 588-0777
Address
111 LAKE PARK DR
Enumeration Date
11 July 2011
Last Update Date
11 July 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7318840600
Graduation Year
2011 (15 years ago)
PAC ID
1355764705
Group Practice PAC ID
0446143374
Professional Enrollment ID
I20200702000667
Address ID
TN382615866UN1109XCXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for MISS JOYCE AMA ADDO (MSPAS)

  • 111 LAKE PARK DR

    MARTIN, TN 382371316

    Phone: (731) 588-0777

    Fax: (731) 588-0777

    Type: Mailing

  • 1804 MAIN STREET

    RAINBOW PEDIATRIC

    HUMBOLDT, TN 38343

    Phone: (731) 784-7833

    Fax: (731) 784-7856

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Boston Scientific Corporation ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-07-02

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
I20200702000667IPhysician AssistantTNTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6049$0
99214Established patient office or other outpatient visit, 30-39 minutes2424$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 38237)

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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: 0446143374View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I cross-check MISS JOYCE AMA ADDO (MSPAS) using NPI 1871881920?
NPI 1871881920 belongs to MISS JOYCE AMA ADDO (MSPAS); compare other details if you need extra assurance.
Active or inactive — what applies to MISS JOYCE AMA ADDO (MSPAS)?
You should see MISS JOYCE AMA ADDO (MSPAS) as active in CMS-hosted NPPES data.
What kind of doctor is MISS JOYCE AMA ADDO (MSPAS)?
MISS JOYCE AMA ADDO (MSPAS) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MISS JOYCE AMA ADDO (MSPAS) associated with Martin?
Public fields place MISS JOYCE AMA ADDO (MSPAS) around Martin, Tennessee. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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