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BRANTLEY HERRINGTON PA
NPI 1538615711
Physician Assistant in Athens, GA

Active since August 29, 2016PECOS EnrolledAccepts Medicare Assignment
85.54/100
CMS Quality Rating
242 KING AVENUE STE 130, ATHENS, GA 30606(706) 475-1870 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jan 10, 2023, Dec 27, 2022 and 3 more (6 updates tracked since 2016).

About Brantley Herrington Pa NPPES

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

BRANTLEY HERRINGTON PA (NPI 1538615711) is an individual physician assistant in Athens, Georgia, licensed in Georgia (12334) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains a secondary practice location in Myrtle Beach.

NPPES Registry Identity

NPI1538615711
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRANTLEY HERRINGTONCredential: PA
Location Address242 KING AVENUE STE 130Athens, GA 30606
Mailing Address210 Village Center Blvd Ste 140Myrtle Beach, SC 29579-6706 · (843) 353-3460 · Fax (843) 353-3461
Phone(706) 475-1870
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022
Enumeration DateAugust 29, 2016
Last NPPES UpdateSeptember 17, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1538615711 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
Licenses✔ Licensed in GA · 12334✔ Licensed in SC · 4572
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 ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 12334 (GA)
242 KING AVENUE STE 130, Athens, GA 30606
Open in Google Maps ↗

Secondary Practice Location 1

Location 1210 Village Center Blvd Ste 200Myrtle Beach, SC 29579-6706 · Phone (843) 353-3460

Other Identifiers 1

Medicaid5949PASC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Brantley Herrington 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 ID3072989284
PECOS Enrollment IDI20221012004042, I20240814003172
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 3

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 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.
40 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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.

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.

85.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Promoting Interoperability98
Improvement Activities40
Cost73.33

Other Providers at the Same Location NPPES

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

MR. KEHINDE OLUWASEYI FEMI PA
Physician Assistant
242 KING AVENUE STE 130
ATHENS, GA 30606
Clarke County (706) 475-1870

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 Brantley Herrington's NPI number?

The NPI number for Brantley Herrington is 1538615711. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Brantley Herrington located?

Brantley Herrington practices at 242 King Avenue Ste 130, Athens, GA 30606. The listed phone number is (706) 475-1870.

What is Brantley Herrington's specialty?

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

Is Brantley Herrington enrolled in Medicare?

Yes. Brantley Herrington 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 Brantley Herrington accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Brantley Herrington 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 Brantley Herrington affiliated with any hospitals?

According to CMS data, Brantley Herrington is affiliated with Piedmont Athens Regional Medical Center and Grand Strand Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brantley Herrington was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.