MANDY C STOUT PA-C
NPI 1578619219
Physician Assistant - Medical in Snellville, GA

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
65.41/100
CMS Quality Rating
1700 TREE LN, SUITE 170, SNELLVILLE, GA 30078(770) 962-0399(678) 252-3722 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mandy C Stout Pa-c NPPES

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

MANDY C STOUT PA-C (NPI 1578619219) is an individual medical provider in Snellville, Georgia, licensed in Georgia (003919) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1578619219
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMANDY C STOUTCredential: PA-C
Location Address1700 TREE LN, SUITE 170Snellville, GA 30078-6782
Mailing Address755 Walther RdLawrenceville, GA 30045-8725 · (770) 962-0399 · Fax (678) 252-3722
Fax(678) 252-3722
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMarch 21, 2008
NPI 1578619219 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 · 003919
1700 TREE LN, Snellville, GA 30078

Other Identifiers 3

Medicare PIN97WCJLS
Medicare UPINP86484
Medicare ID-Type Unspecified97WCGRG

Accepted 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

Mandy C Stout 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 ID143258699
PECOS Enrollment IDI20050829000752
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
226 services206 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
182 services167 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
169 services150 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

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.

65.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.24
Improvement Activities40
Cost59.44

Other Providers at the Same Location NPPES 20

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

Pediatrics (Pediatric Cardiology)
1700 TREE LN, STE 330
SNELLVILLE, GA 30078
Pediatrics (Pediatric Cardiology)
1700 TREE LN, STE 330
SNELLVILLE, GA 30078
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 TREE LN, SUITE 140
SNELLVILLE, GA 30078
Nurse Practitioner (Pediatrics)
1700 TREE LN, SUITE 110
SNELLVILLE, GA 30078
Internal Medicine (Hematology & Oncology)
1700 TREE LN, SUITE 490
SNELLVILLE, GA 30078
Social Worker (Clinical)
1700 TREE LN, SUITE 260
SNELLVILLE, GA 30078
Counselor (Professional)
1700 TREE LN, SUITE 260
SNELLVILLE, GA 30078
Specialist
1700 TREE LN, SUITE 320
SNELLVILLE, GA 30078

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 Mandy Stout's NPI number?

The NPI number for Mandy Stout is 1578619219. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Mandy Stout located?

Mandy Stout practices at 1700 Tree Ln Suite 170, Snellville, GA 30078. The listed phone number is (770) 962-0399.

What is Mandy Stout's specialty?

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

Is Mandy Stout enrolled in Medicare?

Yes. Mandy Stout 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 Mandy Stout accept?

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

According to CMS data, Mandy Stout is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Mandy Stout was last updated on March 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.