Active NPI 1821064395 Individual Practitioner Female Practitioner

Stacy H. Kendrick , PA

Physician Assistant • Austell, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Kendrick, PA is a certified Physician Assistant practicing in Austell, GA. With approximately 23 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2003, Stacy Kendrick delivers high-quality medical care to the local community at 2041 MESA VALLEY WAY.

Stacy Kendrick is affiliated with Resurgens, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, injection into tendon or ligament. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2041 Mesa Valley Way
Suite 100

Austell, GA 301068157

Telephone 7709441100

Fax 7709446469

Associated Practice Facility / Clinic

🏢 East West Surgery Center Lp Facility NPI 1366444929

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Austell, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +11.9 yrs vs City Avg

City Avg: 11.1 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

88 Specialists

Practicing in Austell, GA (4726 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kendrick (23 Years) 23 Yrs

Austell Specialty Average (11.1 Years) 11.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	277	111	$25.00	$0.95
99213 Established patient office or other outpatient visit, typically 15 minutes	91	77	$213.00	$77.63
20550 Injection into tendon or ligament	85	59	$255.72	$40.56
20600 Aspiration and/or injection of fluid from small joint	60	36	$285.00	$38.25
73110 X-ray of wrist, minimum of 3 views	58	38	$168.00	$35.47
20526 Injection of carpal tunnel	41	28	$486.63	$81.86
73130 X-ray of hand, minimum of 3 views	40	31	$154.00	$28.74
20605 Aspiration and/or injection of medium joint or joint capsule	37	26	$270.89	$38.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	30	$134.00	$44.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$329.00	$107.46
73140 X-ray of finger, minimum of 2 views	15	12	$140.00	$30.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	54	29	$25.00	$1.10
73110 X-ray of wrist, minimum of 3 views	50	28	$168.00	$35.45
99213 Established patient office or other outpatient visit, typically 15 minutes	43	30	$213.00	$77.33
73130 X-ray of hand, minimum of 3 views	30	19	$154.00	$29.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$134.00	$46.67
20550 Injection into tendon or ligament	26	19	$247.00	$35.52
29075 Application of elbow to finger cast	21	13	$428.76	$76.47
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	21	13	$95.00	$22.77
20600 Aspiration and/or injection of fluid from small joint	20	16	$273.60	$43.31
J1030 Injection, methylprednisolone acetate, 40 mg	18	15	$25.00	$7.93
73140 X-ray of finger, minimum of 2 views	14	11	$140.00	$32.85
20526 Injection of carpal tunnel	13	11	$476.31	$84.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73110 X-ray of wrist, minimum of 3 views	62	23	$168.00	$35.66
J1030 Injection, methylprednisolone acetate, 40 mg	45	33	$25.00	$6.48
99213 Established patient office or other outpatient visit, typically 15 minutes	37	26	$213.00	$77.66
73130 X-ray of hand, minimum of 3 views	32	17	$154.00	$31.93
20550 Injection into tendon or ligament	23	16	$247.00	$43.19
20600 Aspiration and/or injection of fluid from small joint	21	15	$260.57	$34.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$329.00	$109.85
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	17	11	$95.00	$21.03
29075 Application of elbow to finger cast	17	11	$428.76	$74.03
20605 Aspiration and/or injection of medium joint or joint capsule	15	12	$257.00	$39.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$134.00	$48.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73110 X-ray of wrist, minimum of 3 views	56	25	$168.00	$34.02
J1030 Injection, methylprednisolone acetate, 40 mg	48	38	$25.00	$5.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	27	$329.00	$112.25
20550 Injection into tendon or ligament	29	19	$272.55	$43.84
73130 X-ray of hand, minimum of 3 views	28	21	$154.00	$29.65
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$213.00	$79.22
20600 Aspiration and/or injection of fluid from small joint	22	16	$238.36	$38.11
J1040 Injection, methylprednisolone acetate, 80 mg	19	13	$53.00	$10.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	51	$180.95	$64.39
J1030 Injection, methylprednisolone acetate, 40 mg	54	36	$25.00	$5.65
73110 X-ray of wrist, minimum of 3 views	40	26	$134.00	$32.53
J1040 Injection, methylprednisolone acetate, 80 mg	31	19	$51.19	$10.40
73130 X-ray of hand, minimum of 3 views	28	23	$123.82	$28.60
20600 Aspiration and/or injection of fluid from small joint	27	16	$218.11	$33.83
20550 Injection into tendon or ligament	21	19	$257.62	$45.93
20605 Aspiration and/or injection of medium joint or joint capsule	17	12	$223.12	$35.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$384.51	$120.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	80	$164.12	$59.93
73110 X-ray of wrist, minimum of 3 views	70	35	$100.00	$29.82
J1030 Injection, methylprednisolone acetate, 40 mg	66	45	$25.00	$5.90
73130 X-ray of hand, minimum of 3 views	41	30	$89.00	$24.53
20600 Aspiration and/or injection of fluid from small joint	31	19	$212.52	$33.57
20550 Injection into tendon or ligament	25	19	$264.60	$41.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$309.02	$117.61
J1040 Injection, methylprednisolone acetate, 80 mg	19	14	$53.00	$10.37
20605 Aspiration and/or injection of medium joint or joint capsule	18	15	$209.00	$35.34
73080 X-ray of elbow, minimum of 3 views	17	16	$94.00	$23.56
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$168.92	$65.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	64	$164.12	$61.54
73110 X-ray of wrist, minimum of 3 views	77	37	$100.00	$28.72
J1040 Injection, methylprednisolone acetate, 80 mg	49	31	$49.63	$12.74
J1030 Injection, methylprednisolone acetate, 40 mg	48	31	$24.48	$6.53
73130 X-ray of hand, minimum of 3 views	47	33	$89.00	$26.35
20550 Injection into tendon or ligament	39	23	$245.00	$37.55
20600 Aspiration and/or injection of fluid from small joint	34	20	$204.53	$32.31
20605 Aspiration and/or injection of medium joint or joint capsule	27	18	$209.00	$39.53
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$168.92	$62.41
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	13	11	$95.00	$17.80
73080 X-ray of elbow, minimum of 3 views	13	12	$94.00	$24.14
29075 Application of elbow to finger cast	13	11	$428.76	$69.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	119	85	$164.12	$60.68
J1040 Injection, methylprednisolone acetate, 80 mg	80	48	$53.00	$10.48
J1030 Injection, methylprednisolone acetate, 40 mg	61	35	$25.00	$5.66
73130 X-ray of hand, minimum of 3 views	60	38	$89.00	$25.01
73110 X-ray of wrist, minimum of 3 views	57	34	$100.00	$30.08
20605 Aspiration and/or injection of medium joint or joint capsule	50	33	$242.44	$35.57
20550 Injection into tendon or ligament	39	24	$257.56	$39.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	21	$98.48	$37.05
20526 Injection of carpal tunnel	19	18	$290.53	$76.73
73140 X-ray of finger, minimum of 2 views	18	15	$88.00	$25.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$309.02	$116.30
20600 Aspiration and/or injection of fluid from small joint	13	12	$225.23	$39.36

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 004549

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

407818938A (GA)

Medicaid State Provider ID

407818938C (GA)

Medicaid State Provider ID

407818938D (GA)

Hospital & Practice Group Affiliations

Resurgens, Llc

5671 Peachtree Dunwoody Rd, Atlanta, GA 303425022

Resurgens, Llc

5671 Peachtree Dunwoody Rd Ne, Atlanta, GA 303425022

Phone: 4048479999

Resurgens, Llc

3698 Largent Nw Way, Marietta, GA 300645923

Phone: 6783542883

Resurgens, Llc

2041 Mesa Valley Way, Austell, GA 301066856

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners

Dr. Richard Boe , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1013327642

Doctor of Medicine (M.D.)

Jeffrey Hairston , PA-C

Physician Assistant - Surgical

NPI 1063625051

Physician Assistant (Certified)

Douglas Hernandez , PA

Physician Assistant

NPI 1114500642

Physician Assistant

Dr. Rafael Urrutia , MD

Orthopaedic Surgery

NPI 1124017397

Doctor of Medicine (M.D.)

Susan Kirby , NP-C

Nurse Practitioner

NPI 1154533875

Nurse Practitioner (Certified)

Nadia Wright

Physician Assistant

NPI 1194414250

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 05, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2009

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301068157 (Tel: 7709441100)

📍

Updated Business Mailing Address February 05, 2009

Registered at 2041 MESA VALLEY WAY, SUITE 100, AUSTELL, GA 301068157 (Tel: 7709441100)

👤

Provider Name / Credentials Updated February 05, 2009

Recorded as STACY KENDRICK, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2009

Physician Assistant (License #004549 in GA)

🟢

Initial NPI Registration & Enumeration February 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821064395

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 24, 2006

Last Update: February 05, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2041 Mesa Valley Way, Suite 100

Austell, GA 301068157

Phone: 7709441100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.