KALEY PRATHER – Family Nurse Practitioner, NPI 1023479516
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for KALEY PRATHER
1265 HIGHWAY 54
STE 401
FAYETTEVILLE, GA 302144537
Phone: (770) 227-1587
Fax: (770) 227-1485
Type: Mailing
South 8th Street, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302244260
Phone: (770) 227-1587
Fax: (770) 227-1485
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 153 Open Payments records for all available years, with a total value of $2,881.
Total Amount is formed as General ($2,881) + Research ($0) + Ownership ($0) = $2,881.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($918).
Total Amount
$2,881
General + Research + Ownership
Payments
153
Total payment records
General Amount
$2,881
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $918 |
| Janssen Biotech, Inc. | $494 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $454 |
| PFIZER INC. | $162 |
| Celgene Corporation | $101 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160906001597 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 111 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 78 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 49 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 30214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| Internal Medicine, Gastroenterology | GA | |
| Physician Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | SC |
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