ASHLEY SUZAM NORDSTROM PA-C
NPI 1568636306
Physician Assistant in Monticello, GA

Q: What is Ashley Nordstrom's NPI number?

The NPI number for Ashley Nordstrom is 1568636306. It was assigned to this individual provider in the NPPES registry on April 14, 2008. The provider is also known as Ashley Suzam Ravenel.

Q: What is Ashley Nordstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashley Nordstrom was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since April 14, 2008PECOS EnrolledAccepts Medicare Assignment

898 COLLEGE ST, SUITE A, MONTICELLO, GA 31064(706) 468-0988(706) 468-6631 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ashley Suzam Nordstrom Pa-c NPPES

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

ASHLEY SUZAM NORDSTROM PA-C (NPI 1568636306) is an individual physician assistant in Monticello, Georgia, licensed in Georgia (005296) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1568636306

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameASHLEY SUZAM NORDSTROMCredential: PA-C

Location Address898 COLLEGE ST, SUITE AMonticello, GA 31064-1258

Mailing Address898 College St, Suite AMonticello, GA 31064-1258 · (706) 468-0988 · Fax (706) 468-6631

Phone(706) 468-0988

Fax(706) 468-6631

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 14, 2008

Last NPPES UpdateJanuary 30, 2014

✔ NPI 1568636306 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 · 005296

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.

898 COLLEGE ST, Monticello, GA 31064

Open in Google Maps ↗

Other Names 1

Former Name (1)Ashley Suzam Ravenel

Other Identifiers 2

Medicare PIN20297I9750GA

Medicaid003141276AGA

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

Ashley Suzam Nordstrom 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 ID8022187665

PECOS Enrollment IDI20080521000863

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 4

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.

65 services39 patients

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.

49 services30 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

42 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110018

Location5126 Hospital Drive NECovington, GA 30014 · Newton County

Emergency services Birthing friendly

Jasper Memorial Hospital

Critical Access Hospitals · Monticello, GA

OwnershipGovernment - Local

CMS Certification Number111303

Location898 College StreetMonticello, GA 31064 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31064 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 11

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

JASPER HEALTH SERVICES, INC.

General Acute Care Hospital (Critical Access)