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Avalon Marlo Nero , PA

Physician Assistant โ€ข Augusta, GA

Active NPI 1285356691 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1350 Walton Way
Augusta, GA 309012612

Call 7067745592 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1350 Walton Way

Augusta, GA 309012612

Telephone 7067745592
Organization at the Same NPPES Address or Phone
University Health Services,inc Facility NPI 1588665566

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Crystal Lake, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Piedmont Providers Llc; Piedmont Specialty Hospital Billing Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Medicare patients

62 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $8,454 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $6,736 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Open Payments general payments, program year 2025

All general payments: $33.08 across 2 records.

By nature of payment

  • Food and Beverage: $33.08 across 2 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $33.08 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Avalon Nero has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Avalon Nero as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Augusta, GA (2024, 122 clinicians with data). Median for this group: 172. Middle half: 73 to 587.

Fewer Medicare Part B services than 80% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: 206. Middle half: 69 to 679.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Augusta, GA (2024, 122 clinicians with data). Median for this group: $10,664. Middle half: $5,902 to $29,755.

A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $15,567. Middle half: $5,959 to $34,890.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Augusta, GA (2024, 122 clinicians with data). Median for this group: $7,673. Middle half: $4,551 to $22,005.

A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant in Georgia (2024, 2,111 clinicians with data). Median for this group: $11,516. Middle half: $4,485 to $25,995.

231 active clinicians are listed under Physician Assistant with a practice address in Augusta, GA (4,665 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

4.8% of these 231 clinicians have the CMS telehealth indicator.

63.2% of these 231 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $33.08.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $18.88
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
TRELEGY ELLIPTA General $14.20

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
48 40 $762.00 $176.13

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES GA 12188

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240423000951

Enrollment State Jurisdiction

GA

PECOS Control ID

0143669234

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Piedmont Specialty Hospital Billing Llc

1350 Walton Way, Augusta, GA 309012612

Phone: 7067745995

Piedmont Providers Llc

1350 Walton Way, Augusta, GA 309012612

Phone: 7067745995

Piedmont Providers Llc

1984 Peachtree Rd Nw, Atlanta, GA 303095219

Phone: 4043673210

Piedmont Specialty Hospital Billing Llc

1133 Eagles Landing Pkwy, Stockbridge, GA 302815085

Phone: 6786041000

Secondary Practice Locations

1823 Somerfield Ln

Crystal Lake, IL 600142052

Phone: 2244259128

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Jason Henry , MD

Internal Medicine - Critical Care Medicine

NPI 1235541673

Doctor of Medicine (M.D.)

Dr. Varsha Kulkarni , MD

Internal Medicine - Pulmonary Disease

NPI 1366528333

Doctor of Medicine (M.D.)

James Perhach , PA-C

Physician Assistant

NPI 1972140093

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location April 30, 2024

Registered at 1350 WALTON WAY, AUGUSTA, GA 309012612 (Tel: 7067745592)

๐Ÿ‘ค
Provider Name / Credentials Updated April 30, 2024

Recorded as AVALON NERO, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2024

Physician Assistant (license number reported to NPPES: GA 12188)

โœ…
NPI Profile Active September 26, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 26, 2022

Registered at 1823 SOMERFIELD LN, CRYSTAL LAKE, IL 600142052 (Tel: 2244259128)

๐Ÿ“
Business Mailing Address (Initial Record) September 26, 2022

Registered at 1823 SOMERFIELD LN, CRYSTAL LAKE, IL 600142052 (Tel: 2244259128)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 26, 2022

Recorded as AVALON NERO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2022

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration September 13, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285356691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2022
Last Update: April 30, 2024
Sole Proprietor: Yes

Other Physician Assistants in Augusta

All Physician Assistants in Augusta

Mailing Address

1823 Somerfield Ln

Crystal Lake, IL 600142052

Phone: 2244259128

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.