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AUTUMN WALTON MONGO PA-C
NPI 1427662964
Physician Assistant in Springfield, GA

Active since September 02, 2020PECOS EnrolledAccepts Medicare Assignment
1451 HIGHWAY 21 S STE H, SPRINGFIELD, GA 31329(912) 754-1035(912) 754-1037 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Dec 17, 2020, Sep 2, 2020 (3 updates tracked since 2020).

About Autumn Walton Mongo Pa-c NPPES

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

AUTUMN WALTON MONGO PA-C (NPI 1427662964) is an individual physician assistant in Springfield, Georgia and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Effingham Health System, and is a graduate of Medical University Of South Carolina College Of Medicine (2020).

NPPES Registry Identity

NPI1427662964
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUTUMN WALTON MONGOCredential: PA-C
Location Address1451 HIGHWAY 21 S STE HSpringfield, GA 31329-5244
Mailing Address1451 Highway 21 S Ste HSpringfield, GA 31329-5244 · (912) 754-1035 · Fax (912) 754-1037
Phone(912) 754-1035
Fax(912) 754-1037
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2020
Enumeration DateSeptember 2, 2020
Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1427662964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1451 HIGHWAY 21 S STE H, Springfield, GA 31329
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Autumn Walton Mongo 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 ID6103238027
PECOS Enrollment IDI20231011002375
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.

Effingham Health System

Critical Access Hospitals · Springfield, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111306
Location459 Ga Highway 119 SouthSpringfield, GA 31329 · Effingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31329 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.

Other Providers at the Same Location NPPES 3

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

JANA EDWARDS MARKS CPNP
Nurse Practitioner (Pediatrics)
1451 HIGHWAY 21 S STE H
SPRINGFIELD, GA 31329
Effingham County (912) 754-1035
EFFINGHAM HOSPITAL, INC.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1451 HIGHWAY 21 S STE H
SPRINGFIELD, GA 31329
Effingham County (912) 754-1035
ROMUALDO M LAYGO MD
General Practice
1451 HIGHWAY 21 S STE H
SPRINGFIELD, GA 31329
Effingham County (912) 754-1035

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 Autumn Mongo's NPI number?

The NPI number for Autumn Mongo is 1427662964. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Autumn Mongo located?

Autumn Mongo practices at 1451 Highway 21 S Ste H, Springfield, GA 31329. The listed phone number is (912) 754-1035.

What is Autumn Mongo's specialty?

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

Is Autumn Mongo enrolled in Medicare?

Yes. Autumn Mongo 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 Autumn Mongo accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Autumn Mongo 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 Autumn Mongo affiliated with any hospitals?

According to CMS data, Autumn Mongo is affiliated with Effingham Health System.

When was this NPI record last updated?

The NPPES record for Autumn Mongo was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.