MRS. SHANDA DELEICE CARTER (NP) – Family Nurse Practitioner, NPI 1023485935
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. SHANDA DELEICE CARTER (NP)
205 SHIRLEY AVE
DOUGLAS, GA 31533
Phone: (912) 383-6966
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 152 Open Payments records for all available years, with a total value of $2,899.
Total Amount is formed as General ($2,899) + Research ($0) + Ownership ($0) = $2,899.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($686).
Total Amount
$2,899
General + Research + Ownership
Payments
152
Total payment records
General Amount
$2,899
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $686 |
| Janssen Biotech, Inc. | $484 |
| UCB, Inc. | $394 |
| E.R. Squibb & Sons, L.L.C. | $387 |
| GENZYME CORPORATION | $150 |
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: 2017-12-18
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 |
|---|---|---|---|---|
| I20171218002036 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 955 | 164 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 391 | 285 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 271 | 213 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 222 | 188 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 214 | 190 | $0 |
Insurance plans in this area (ZIP 31533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| D E R M A T O L O G Y | GA | |
| Physician Assistant | GA | |
| - | GA | |
| D E R M A T O L O G Y | SC | |
| Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology | TX | |
| P A T H O L O G Y | GA | |
| Physician Assistant | GA |
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