VIRGINIA ANN HORAN (PA-C) – Physician Assistant, NPI 1093370827
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VIRGINIA ANN HORAN (PA-C)
100 N MARIO CAPECCHI DR STE 1500
SALT LAKE CITY, UT 841131103
Phone: (801) 662-3900
Type: Location
27 RIVER OVERLOOK CT
DAWSONVILLE, GA 305340706
Phone: (770) 714-9969
Type: Mailing
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 302144526
Phone: (404) 367-3014
Type: Location
PO BOX 30180
SALT LAKE CITY, UT 841300180
Phone: (866) 415-6556
Type: Mailing
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: 2020-01-15
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 |
|---|---|---|---|---|
| I20200115003389 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84113)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | MN | |
| Critical Care (Intensivists) | GA | |
| Physician Assistant | GA | |
| Pulmonary Disease, Critical Care (Intensivists) | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA |
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