SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) – Nurse Practitioner, NPI 1033678792

SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) is a healthcare provider. based in Dallas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. RN193421 (GA). The NPI Number for SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) is 1033678792

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC)
NPI
1033678792
Phone
(770) 841-8912
Address
41 RIDERS RDG
Enumeration Date
12 March 2019
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4704907470
Graduation Year
2018 (8 years ago)
PAC ID
9032585419
Group Practice PAC ID
0446154231
Professional Enrollment ID
I20221026003190
Address ID
GA301208522CA150XXBLVD300

Contacts

Secure Messaging
sandra.burrell-spence.1@1498.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

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

CompanyAmount
Baxter Healthcare$38
View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221026003190INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82043Urine microalbumin (protein) level7847$0
82570Creatinine level to test for kidney function or muscle injury7847$0
99214Established patient office or other outpatient visit, 30-39 minutes6643$0
83540Iron level4631$0
83550Iron binding capacity4631$0
View full utilization report →

Insurance plans in this area (ZIP 30132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446154231View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
-GA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Orthopedic SurgeryGA
Radiation OncologyGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

Is SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) listed with a National Provider Identifier?
Yes — SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) has NPI 1033678792 on file in the registry.
Would SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) appear as active to a payer?
You can treat SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC)?
SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) located near Dallas?
SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC) currently maps to Dallas, Georgia in this extract.
Can I trust this NPI listing for SANDRA BEVERLEY BURRELL-SPENCE (AGACNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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