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BRECK ARDREY PA-C
NPI 1811406176
Physician Assistant in Atlanta, GA

Active since September 29, 2017PECOS Enrolled
5461 MERIDIAN MARK RD STE 570, ATLANTA, GA 30342(404) 785-6895(404) 785-6896 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About Breck Ardrey Pa-c NPPES

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

BRECK ARDREY PA-C (NPI 1811406176) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (8495) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811406176
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRECK ARDREYCredential: PA-C
Location Address5461 MERIDIAN MARK RD STE 570Atlanta, GA 30342-2807
Mailing Address5461 Meridian Mark Rd Ste 570Atlanta, GA 30342-2807 · (404) 785-6895 · Fax (404) 785-6896
Phone(404) 785-6895
Fax(404) 785-6896
Sole ProprietorNo
Enumeration DateSeptember 29, 2017
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1811406176 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 · 8495
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.
5461 MERIDIAN MARK RD STE 570, Atlanta, GA 30342
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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 (PECOS)

Breck Ardrey Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 15

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

KENDRA SUMMERS
Physician Assistant
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895
CASEY TANNER PNP
Nurse Practitioner (Pediatrics)
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895
MR. WILLIAM DANIEL ERWIN CPNP-AC
Nurse Practitioner (Pediatrics)
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895
JOHN BLEACHER MD
Surgery (Pediatric Surgery)
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895
DANIELLE E DAMIANO CPNP
Nurse Practitioner (Pediatrics)
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895
JUSTIN SOBRINO
Surgery (Pediatric Surgery)
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895
KATHERINE MICHELLE GUDGER PA-C
Physician Assistant
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895
ANGELA EAST CPNP
Nurse Practitioner (Pediatrics)
5461 MERIDIAN MARK RD STE 570
ATLANTA, GA 30342
Fulton County (404) 785-6895

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 Breck Ardrey's NPI number?

The NPI number for Breck Ardrey is 1811406176. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Breck Ardrey located?

Breck Ardrey practices at 5461 Meridian Mark Rd Ste 570, Atlanta, GA 30342. The listed phone number is (404) 785-6895.

What is Breck Ardrey's specialty?

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

Is Breck Ardrey enrolled in Medicare?

Yes. Breck Ardrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breck Ardrey was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.