Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1306186705 Deactivated / Inactive NPI Male Practitioner

Jon Barry Stanley , PA-C

Physician Assistant - Surgical • Marietta, GA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jon Stanley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2013
NPI Deactivation Date October 02, 2019
Total Practice Duration ~6 Years of Practice (2013 – 2019)

Professional Overview & Biography Verified Profile Summary

Jon Stanley, PA-C was a registered Physician Assistant - Surgical practicing in Marietta, GA. Throughout an active medical career spanning 6 years, Jon Stanley provided care at the practice location at 61 WHITCHER ST NE until profile deactivation on 2019-10-02.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, removal of lymph nodes of chest cavity using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

61 Whitcher St Ne
Suite 4120

Marietta, GA 300601176

Telephone 7704249732
Fax 7704210228
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
41 Specialists

Practicing in Marietta, GA (539 Statewide)

Telehealth Adoption Rate
14.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
28 15 $141.00 $62.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $397.00 $173.41

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License GA 6720

Definition to come...

Practice Associates & Co-Workers

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

15 Associated Practitioners
Kristin Rogers , PA

Physician Assistant

NPI 1114323573

Physician Assistant

Dr. Daniel Fortes , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1124037486

Doctor of Medicine (M.D.)

Philip De Rosa , PA-C

Physician Assistant

NPI 1194236620

Physician Assistant (Certified)

Dr. Theolyn Price , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1265402317

Doctor of Medicine (M.D.)

Dr. Ernest Itkin , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1336121359

Doctor of Medicine (M.D.)

Dr. Ki Wan Kim , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1356490734

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 02, 2019

Record deactivated on October 02, 2019

NPI Profile Active February 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2013

Registered at 61 WHITCHER ST NE, SUITE 4120, MARIETTA, GA 300601176 (Tel: 7704249732)

📍
Updated Business Mailing Address February 21, 2013

Registered at 76 EVERGREEN WAY, DALLAS, GA 301574661 (Tel: 4047134891)

👤
Provider Name / Credentials Updated February 21, 2013

Recorded as JON STANLEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2013

Physician Assistant (License #6720 in GA)

🟢
Initial NPI Registration & Enumeration February 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Jon Stanley. Be the first to share your experience!

Sign in to leave a review for Jon Stanley

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306186705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2013
Last Update: February 21, 2013
Deactivation Date: October 02, 2019

Mailing Address

76 Evergreen Way

Dallas, GA 301574661

Phone: 4047134891

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.