MARISSA LEE FIDLER PA-C
NPI 1952911349
Physician Assistant in Ellijay, GA

Active since July 31, 2020PECOS EnrolledAccepts Medicare Assignment
370 W HIGHLANDS DR STE 240, ELLIJAY, GA 30540(706) 635-1400 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 8, 2025, Jul 7, 2022, Jul 31, 2020 (3 updates tracked since 2020).

About Marissa Lee Fidler Pa-c NPPES

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

MARISSA LEE FIDLER PA-C (NPI 1952911349) is an individual physician assistant in Ellijay, Georgia, licensed in Georgia (13127) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Piedmont Mountainside Hospital Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952911349
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA LEE FIDLERCredential: PA-C
Location Address370 W HIGHLANDS DR STE 240Ellijay, GA 30540-7745
Mailing Address370 W Highlands Dr Ste 240East Ellijay, GA 30540-7745 · (706) 635-1400 · Fax (706) 635-1411
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 31, 2020
Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1952911349 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 · 13127
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.
370 W HIGHLANDS DR STE 240, Ellijay, GA 30540

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

Marissa Lee Fidler 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 ID547760969
PECOS Enrollment IDI20250821000180
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.

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110225
Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30540 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

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

Nurse Practitioner (Family)
370 W HIGHLANDS DR STE 240
ELLIJAY, GA 30540

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 Marissa Fidler's NPI number?

The NPI number for Marissa Fidler is 1952911349. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Marissa Fidler located?

Marissa Fidler practices at 370 W Highlands Dr Ste 240, Ellijay, GA 30540. The listed phone number is (706) 635-1400.

What is Marissa Fidler's specialty?

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

Is Marissa Fidler enrolled in Medicare?

Yes. Marissa Fidler 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.

Is Marissa Fidler affiliated with any hospitals?

According to CMS data, Marissa Fidler is affiliated with Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Marissa Fidler was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.