MS. MICHELLE LEE DUPONT PA-C
NPI 1104852078
Physician Assistant in Fayetteville, GA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
101 YORKTOWN DR STE 203, FAYETTEVILLE, GA 30214(770) 474-7416(706) 920-7617 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Michelle Lee Dupont Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MICHELLE LEE DUPONT PA-C (NPI 1104852078) is an individual physician assistant in Fayetteville, Georgia, licensed in Georgia (003062) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stockbridge, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1104852078
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MICHELLE LEE DUPONTCredential: PA-C
Location Address101 YORKTOWN DR STE 203Fayetteville, GA 30214-1578
Mailing Address101 Springridge CtPeachtree City, GA 30269-1143 · (770) 474-7416 · Fax (770) 692-0761
Fax(706) 920-7617
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
NPI 1104852078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 003062
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 YORKTOWN DR STE 203, Fayetteville, GA 30214

Secondary Practice Location 1

Location 11101 Hospital Dr Ste 100AStockbridge, GA 30281-9076 · Phone (770) 474-7416 · Fax (770) 692-0761

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Michelle Lee Dupont Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395995401
PECOS Enrollment IDI20121026000280
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
233 services163 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
80 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%90 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Audiologist
101 YORKTOWN DR STE 203
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Dupont's NPI number?

The NPI number for Michelle Dupont is 1104852078. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Michelle Dupont located?

Michelle Dupont practices at 101 Yorktown Dr Ste 203, Fayetteville, GA 30214. The listed phone number is (770) 474-7416.

What is Michelle Dupont's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michelle Dupont enrolled in Medicare?

Yes. Michelle Dupont is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Michelle Dupont was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.