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DANICA LEIGH PINSON PAC
NPI 1225514201
Physician Assistant - Medical in Marietta, GA

Active since July 13, 2018PECOS EnrolledAccepts Medicare Assignment
4800 OLDE TOWNE PKWY STE 370, MARIETTA, GA 30068(678) 631-4620(678) 631-4621 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Danica Leigh Pinson Pac NPPES

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

DANICA LEIGH PINSON PAC (NPI 1225514201) is an individual medical provider in Marietta, Georgia, licensed in Georgia (8841) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Mercer University School Of Medicine (2018).

NPPES Registry Identity

NPI1225514201
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDANICA LEIGH PINSONCredential: PAC
Location Address4800 OLDE TOWNE PKWY STE 370Marietta, GA 30068-4396
Mailing Address4800 Olde Towne Pkwy Ste 370Marietta, GA 30068-4396 · (678) 631-4620 · Fax (678) 631-4621
Phone(678) 631-4620
Fax(678) 631-4621
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2018
Enumeration DateJuly 13, 2018
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1225514201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 8841
4800 OLDE TOWNE PKWY STE 370, Marietta, GA 30068
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Danica Leigh Pinson Pac 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 ID7719213750
PECOS Enrollment IDI20220325001682
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 5

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.
288 services191 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
121 services102 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 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.
24 services24 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Other Providers at the Same Location NPPES

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

LEIA MITCHELL PA-C
Physician Assistant
4800 OLDE TOWNE PKWY STE 370
MARIETTA, GA 30068
Cobb County (678) 631-4620

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 Danica Pinson's NPI number?

The NPI number for Danica Pinson is 1225514201. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Danica Pinson located?

Danica Pinson practices at 4800 Olde Towne Pkwy Ste 370, Marietta, GA 30068. The listed phone number is (678) 631-4620.

What is Danica Pinson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Danica Pinson enrolled in Medicare?

Yes. Danica Pinson 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.

What insurance does Danica Pinson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Danica Pinson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Danica Pinson affiliated with any hospitals?

According to CMS data, Danica Pinson is affiliated with Wellstar Kennestone Regional Medical Center and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Danica Pinson was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.