HEE JIN CAYETANO (PA-C, RD, LD) – Medical Physician Assistant, NPI 1154575520

HEE JIN CAYETANO (PA-C, RD, LD) is a healthcare provider. based in Atlanta, Georgia. specializing in Medical Physician Assistant. They hold the professional credentials PA-C, RD, LD. They hold a License No. LD003056 (GA). The NPI Number for HEE JIN CAYETANO (PA-C, RD, LD) is 1154575520

Main info

Female
Name
HEE JIN CAYETANO (PA-C, RD, LD)
NPI
1154575520
Phone
(404) 607-1064
Address
430 CENTENNIAL OLYMPIC PARK DRIVE
Enumeration Date
11 November 2008
Last Update Date
16 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

Provider Addresses for HEE JIN CAYETANO (PA-C, RD, LD)

  • 430 CENTENNIAL OLYMPIC PARK DRIVE

    ATLANTA, GA 30313

    Phone: (404) 607-1064

    Type: Location

  • 663, Lanier Park Drive, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305012059

    Phone: (678) 450-0202

    Fax: (678) 971-6065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,837.

Total Amount is formed as General ($1,837) + Research ($0) + Ownership ($0) = $1,837.

Last reported payment date: 2024-02-07 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($433).

Total Amount

$1,837

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,837

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-07

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: 2020-10-20

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
I20201020002258IPhysician AssistantGATBD

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 minutes5532$0
99214Established patient office or other outpatient visit, 30-39 minutes4829$0
View full utilization report →

Insurance plans in this area (ZIP 30313)

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Reviews

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Frequently asked questions

Can I cross-check HEE JIN CAYETANO (PA-C, RD, LD) using NPI 1154575520?
NPI 1154575520 belongs to HEE JIN CAYETANO (PA-C, RD, LD); compare other details if you need extra assurance.
Would HEE JIN CAYETANO (PA-C, RD, LD) appear as active to a payer?
You can treat HEE JIN CAYETANO (PA-C, RD, LD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to HEE JIN CAYETANO (PA-C, RD, LD)?
HEE JIN CAYETANO (PA-C, RD, LD)'s specialty line reads Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is HEE JIN CAYETANO (PA-C, RD, LD) associated with Atlanta?
Public fields place HEE JIN CAYETANO (PA-C, RD, LD) around Atlanta, Georgia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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