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MRS. MOLLY SMITH INGRAM PA
NPI 1396576732
Physician Assistant in Harlem, GA

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
1331 APPLING HARLEM RD, HARLEM, GA 30814(706) 556-2012 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Aug 8, 2024 (2 updates tracked since 2024).

About Mrs. Molly Smith Ingram Pa NPPES

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

MRS. MOLLY SMITH INGRAM PA (NPI 1396576732) is an individual physician assistant in Harlem, Georgia, licensed in Georgia (12634) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396576732
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MOLLY SMITH INGRAMCredential: PA
Location Address1331 APPLING HARLEM RDHarlem, GA 30814-4130
Mailing Address516 Martin LnAugusta, GA 30909-3406 · (478) 365-1215
Phone(706) 556-2012
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 8, 2024
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1396576732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 12634
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 12634 (GA)
1331 APPLING HARLEM RD, Harlem, GA 30814
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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

Mrs. Molly Smith Ingram Pa 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 ID9931636495
PECOS Enrollment IDI20241220003772
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.

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30814 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Molly Ingram's NPI number?

The NPI number for Molly Ingram is 1396576732. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Molly Ingram located?

Molly Ingram practices at 1331 Appling Harlem Rd, Harlem, GA 30814. The listed phone number is (706) 556-2012.

What is Molly Ingram's specialty?

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

Is Molly Ingram enrolled in Medicare?

Yes. Molly Ingram 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.

Is Molly Ingram affiliated with any hospitals?

According to CMS data, Molly Ingram is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Molly Ingram was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.