THOMAS STUCKEY (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083189328

THOMAS STUCKEY (CRNP) is a healthcare provider. based in Villa rica, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. APRN-NP280533 (GA). The NPI Number for THOMAS STUCKEY (CRNP) is 1083189328

Main info

Male
8 Years Of Experience
Name
THOMAS STUCKEY (CRNP)
NPI
1083189328
Phone
(770) 812-3294
Address
20 HERRELL RD
Enumeration Date
12 October 2018
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7708123580
Graduation Year
2018 (8 years ago)
PAC ID
6406281476
Group Practice PAC ID
2163714635
Professional Enrollment ID
I20200122000078
Address ID
GA301803201VI101XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for THOMAS STUCKEY (CRNP)

  • Willowbrooke, 20, Herrell Road, Villa Rica, Carroll County, Georgia, 30180, United States

    VILLA RICA, GA 301805527

    Phone: (770) 812-3294

    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 2 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Medtronic, Inc. ($96).

Total Amount

$116

General + Research + Ownership

Payments

2

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-01-22

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
I20200122000078INurse 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
90833Psychotherapy with evaluation and management visit, 30 minutes3616$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2814$0
View full utilization report →

Insurance plans in this area (ZIP 30180)

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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: 2163714635View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
Nurse PractitionerGA
P S Y C H I A T R YFL
P S Y C H I A T R YGA
P S Y C H I A T R YGA
-AL
Ophthalmology, PsychiatryGA
Nurse PractitionerGA
-FL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What unique ID ties claims to THOMAS STUCKEY (CRNP)?
NPI 1083189328 is assigned to THOMAS STUCKEY (CRNP) under the national enumeration system.
Is THOMAS STUCKEY (CRNP)'s NPI currently valid?
The extract we use shows THOMAS STUCKEY (CRNP) as active.
What does THOMAS STUCKEY (CRNP) treat or focus on?
Patients typically see THOMAS STUCKEY (CRNP) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is THOMAS STUCKEY (CRNP)'s primary listing?
We display Villa Rica, Georgia because that is what the record indicates for THOMAS STUCKEY (CRNP).
What if Villa Rica, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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