Sandra E. Deconza, PA-C
NPI 1467418723ActiveIndividual· Physician Assistant, Medical· Canton, GA
Physician Assistant, Medical (PA-C) with Southeast Medical Group, P.C., practicing in Canton, Georgia. 160 Medicare patients in 2024, $16,891 paid; nearly all of their 351 Part D prescriptions were generic (90%).
Overview
| NPI | 1467418723 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 25, 2006 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 8058 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 967 across 41 procedure codes |
| Paid by Medicare | $16,891 |
Part D prescriptions in 2024
| Prescriptions (claims) | 351 · 356 30-day fills |
|---|---|
| Patients | 207 |
| Total drug cost | $2,839 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southeast Medical Group, P.C.Chattanooga, TN · 141 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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