DOREEN MARY MASSEY (FNP) – Family Nurse Practitioner, NPI 1063463537

DOREEN MARY MASSEY (FNP) is a healthcare provider. based in Watkinsville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN115838 (GA). The NPI Number for DOREEN MARY MASSEY (FNP) is 1063463537

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DOREEN MARY MASSEY (FNP)
NPI
1063463537
Phone
(404) 605-5000
Address
1305 JENNINGS MILL RD STE 120
Enumeration Date
12 May 2006
Last Update Date
24 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7063893000
Graduation Year
2002 (24 years ago)
PAC ID
4082655931
Group Practice PAC ID
0547698680
Professional Enrollment ID
I20050520000315
Address ID
GA306063712AT1230XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for DOREEN MARY MASSEY (FNP)

  • 1305 JENNINGS MILL RD STE 120

    WATKINSVILLE, GA 306777241

    Phone: (404) 605-5000

    Type: Location

  • 1510 RIBAUT RD

    PORT ROYAL, SC 299351403

    Phone: (437) 700-6768

    Type: Mailing

  • Paces Ferry Road Northwest, Atlanta, Fulton County, Georgia, 30327, United States

    SUITE 1-1100

    ATLANTA, GA 303096150

    Phone: (470) 271-3421

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050520000315INurse PractitionerGATBD
I20210202001032INurse PractitionerSCTBD

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
99284Emergency department visit with moderate level of medical decision making4848$0
99283Emergency department visit with low level of medical decision making1515$0
99285Emergency department visit with high level of medical decision making1515$0
View full utilization report →

Insurance plans in this area (ZIP 30677)

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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: 0547698680View full group profile
NameSpecialtyState
Nurse PractitionerGA
-AL
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineTN
-GA
Emergency MedicineGA
Emergency MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to DOREEN MARY MASSEY (FNP)?
The federal identifier for DOREEN MARY MASSEY (FNP) is NPI 1063463537.
Does this profile mean DOREEN MARY MASSEY (FNP) is currently active?
Yes — DOREEN MARY MASSEY (FNP) appears active in the national provider directory.
What kind of provider is DOREEN MARY MASSEY (FNP)?
The page reflects Family Nurse Practitioner for DOREEN MARY MASSEY (FNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for DOREEN MARY MASSEY (FNP)?
The page summarizes Watkinsville, Georgia for DOREEN MARY MASSEY (FNP); expand the address list for detail.
How can I contact DOREEN MARY MASSEY (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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