BRENDALYNE FACIA TAMBA (FNP) – Family Nurse Practitioner, NPI 1053925107
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 BRENDALYNE FACIA TAMBA (FNP)
361 RESOURCE PKWY
WINDER, GA 306808364
Phone: (770) 291-0419
Fax: (240) 348-8500
Type: Location
788 HERITAGE LAKE WAY
GRAYSON, GA 300177838
Phone: (678) 382-8005
Type: Mailing
595 HURRICANE SHOALS RD NW
STE 100
LAWRENCEVILLE, GA 300468762
Phone: (404) 645-7150
Fax: (678) 433-9152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $966.
Total Amount is formed as General ($966) + Research ($0) + Ownership ($0) = $966.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($203).
Total Amount
$966
General + Research + Ownership
Payments
28
Total payment records
General Amount
$966
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $203 |
| Horizon Therapeutics plc | $198 |
| Fresenius USA Marketing, Inc. | $127 |
| Novo Nordisk Inc | $101 |
| Amgen Inc. | $79 |
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: 2021-01-20
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 |
|---|---|---|---|---|
| I20210120001260 | 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 |
|---|---|---|---|---|
| 90966 | Home dialysis services per month (20 years or older) | 33 | 16 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 30 | 29 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 19 | 16 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30680)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Nephrology | GA | |
| Nurse Practitioner | GA | |
| N E P H R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nephrology, Hospitalist | KY | |
| - | GA | |
| Nurse Practitioner | GA | |
| N E P H R O L O G Y | GA | |
| Internal Medicine, Nephrology | NM |
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