Mandy C. Stout, PA-C
NPI 1578619219ActiveIndividual· Physician Assistant, Medical· Snellville, GA
Physician Assistant, Medical (PA-C) with Northside Cv Professional Services LLC, practicing in Snellville, Georgia. Mostly services rather than prescriptions: Medicare paid $17,157 for 259 patients in 2024, with only 17 Part D claims. Boston Scientific Corporation was the largest of 13 companies reporting payments in 2025, $2,061 in all, mostly food and beverage. Lists Northside Hospital Gwinnett as a hospital affiliation.
Overview
| NPI | 1578619219 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | Mar 21, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 003919 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 259 |
|---|---|
| Services billed | 445 across 8 procedure codes |
| Paid by Medicare | $17,157 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 18 30-day fills |
|---|---|
| Total drug cost | $217.97 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Northside Cv Professional Services LLCLawrenceville, GA · 49 clinicians
Hospital affiliation
- Northside Hospital GwinnettLawrenceville, GA
Industry payments (Open Payments)
- 2025$2,061 · 32 payments from 13 companies
- 2024$2,049 · 34 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $1,122 | 9 |
| Actelion Pharmaceuticals US, Inc. | $217.57 | 3 |
| Abiomed | $197.27 | 4 |
| E.R. Squibb & Sons, L.L.C. | $135.09 | 2 |
| Astrazeneca Pharmaceuticals LP | $124.74 | 1 |
What the 2025 payments were for
- Food and Beverage$1,277 · 29 payments
- Travel and Lodging$704.37 · 2 payments
- Education$79.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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