MRS. CANDICE SARA CERRACCHIO (PA C) – Physician Assistant, NPI 1114929130
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CANDICE SARA CERRACCHIO (PA C)
PO BOX 117287
ATLANTA, GA 303687287
Phone: (866) 266-0555
Fax: (866) 266-4999
Type: Mailing
100 Buckwalter Place Blvd Ste 150
Bluffton, SC 299105023
Phone: (843) 836-7120
Fax: (843) 836-7137
Type: Location
225 CANDLER DR STE 100
SAVANNAH, GA 314056093
Phone:
Type: Mailing
Medical Center Pharmacy, 4700, Waters Avenue, Fairfield, Savannah, Chatham County, Georgia, 31404, United States
SAVANNAH, GA 314046220
Phone: (912) 692-2000
Fax: (912) 692-2100
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 $312.
Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($77).
Total Amount
$312
General + Research + Ownership
Payments
10
Total payment records
General Amount
$312
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
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: 2011-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20111230000150 | I | Physician Assistant | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 30368)
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