Individual provider Active NPI

Ebonique C Pillot Magee, PA-C

  • Physician Assistant
  • Lithonia, GA
National Provider Identifier
1043249261
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004500 Issued in GA
Practice address
5910 Hillandale Dr Ste 301
Lithonia, GA 30058-1880
Phone
(707) 987-2155
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004500 GA Primary

Addresses

Primary practice location

5910 Hillandale Dr Ste 301
Lithonia, GA 30058-1880

Mailing address

2024 Briar Creek CT NE
Conyers, GA 30012-7123
Phone (404) 421-6966

Other identifiers 5

IdentifierTypeStateIssuer
758372220BMedicaidGA
758372220CMedicaidGA
758372220DMedicaidGA
758372220EMedicaidGA
758372220AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000876 GA Practitioner - Physician Assistant 5496799728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004500GAMDProfessional Counselor
4500GAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Medical Primary Care Group LLC CurrentSince Nov 8, 2020 Accepting new patients
Concentra Primary Care PA Past Accepting new patients

Locations

487 Winn Way
Ste 202
Decatur, GA 30030
Phone (404) 294-0702

5900 Hillandale Dr
Ste 300
Lithonia, GA 30058
Phone (770) 987-2155

5910 Hillandale Dr
Ste 301
Lithonia, GA 30058
Phone (678) 418-2120

3550 Centerville Hwy
Snellville, GA 30039
Phone (770) 736-7806

Interoperability endpoints

  • Direct secure messaging: epillotmagee50459@direct.emory.org
  • Direct secure messaging: ebonique.pillot@kendrickfamilypractice.gadirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1043249261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 BRIAR CREEK CT NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300127123",
            "telephone_number": "404-421-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DR STE 301",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581880",
            "telephone_number": "707-987-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLOT MAGEE",
        "first_name": "EBONIQUE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758372220B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758372220C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758372220D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758372220E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758372220A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.