SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) – Nurse Practitioner, NPI 1033678792
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC)
41 RIDERS RDG
DALLAS, GA 301328399
Phone: (770) 841-8912
Type: Mailing
150 GENTILLY BLVD
CARTERSVILLE, GA 301208522
Phone: (470) 490-6510
Fax: (855) 758-9967
Type: Location
221 TECHNOLOGY PKWY NW
ROME, GA 301651369
Phone: (762) 235-1000
Type: Mailing
200 GENTILLY BLVD
CARTERSVILLE, GA 301208504
Phone: (470) 490-6510
Fax: (470) 490-6517
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-09-09 • Largest payer in this snapshot: Baxter Healthcare ($38).
Total Amount
$38
General + Research + Ownership
Payments
1
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $38 |
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: 2022-10-26
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 |
|---|---|---|---|---|
| I20221026003190 | 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 |
|---|---|---|---|---|
| 82043 | Urine microalbumin (protein) level | 78 | 47 | $0 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 78 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 43 | $0 |
| 83540 | Iron level | 46 | 31 | $0 |
| 83550 | Iron binding capacity | 46 | 31 | $0 |
Insurance plans in this area (ZIP 30132)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Radiation Oncology | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
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