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Ebonne Quiller, PA

NPI 1902522956ActiveIndividual· Physician Assistant· Decatur, GA

Physician Assistant (PA) with Peachtree Immediate Care Fp, LLC and 1 other group, practicing in Decatur, Georgia. Their prescriptions cost Medicare Part D more than their services did: $288,560 for 2,123 claims, against $55,753 paid for services in 2024.

Overview

NPI1902522956
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedOct 12, 2022
Last updated in NPPESJul 19, 2024
Certified by providerJul 19, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X11768GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients217
Services billed909 across 56 procedure codes
Paid by Medicare$55,753

Part D prescriptions in 2024

Prescriptions (claims)2,123 · 3,545 30-day fills
Patients299
Total drug cost$288,560
Generic share84% of claims

Medicare sources and data years

Education and affiliations

Graduation year2023
Medicare specialtyPhysician Assistant

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Decatur

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