CHRISTY L HARTLEY (CNM/ARNP) – Advanced Practice Midwife, NPI 1104149319

CHRISTY L HARTLEY (CNM/ARNP) is a healthcare provider. based in Vidalia, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials CNM/ARNP. They hold a License No. RN150227 (GA). The NPI Number for CHRISTY L HARTLEY (CNM/ARNP) is 1104149319

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTY L HARTLEY (CNM/ARNP)
NPI
1104149319
Phone
(912) 537-1014
Address
101 HARRIS INDUSTRIAL BLVD STE C
Enumeration Date
3 March 2010
Last Update Date
27 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124667250
Graduation Year
2015 (11 years ago)
PAC ID
2163618372
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20160805000425
Address ID
GA315204788BR3025XRDXX301

Contacts

Secure Messaging
CHRISTY.BROCATO@hca5.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness95
Years active:16State licenses:2Other names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for CHRISTY L HARTLEY (CNM/ARNP)

  • 101, Harris Industrial Boulevard, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304748852

    Phone: (912) 537-1014

    Type: Location

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 537-1014

    Type: Mailing

  • 2500 STARLING ST STE 305

    BRUNSWICK, GA 315204271

    Phone: (912) 588-1020

    Fax: (912) 588-1002

    Type: Mailing

  • 101 HARRIS INDUSTRIAL BLVD STE C

    VIDALIA, GA 304748852

    Phone: (912) 537-1014

    Fax: (912) 538-0979

    Type: Mailing

  • 1707 MEADOWS LN STE A

    VIDALIA, GA 304747201

    Phone: (912) 537-1014

    Fax: (912) 538-0979

    Type: Location

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Organon LLC ($21).

Total Amount

$21

General + Research + Ownership

Payments

2

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$21
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: 2016-08-05

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
I20160805000425INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30474)

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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: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

How do I look up CHRISTY L HARTLEY (CNM/ARNP) by NPI?
Use NPI 1104149319 when you need to reference CHRISTY L HARTLEY (CNM/ARNP) in forms, claims, or directories.
Is CHRISTY L HARTLEY (CNM/ARNP) currently active in the NPI registry?
CMS-published data lists CHRISTY L HARTLEY (CNM/ARNP) as an active registrant.
What field does CHRISTY L HARTLEY (CNM/ARNP) work in?
You can think of CHRISTY L HARTLEY (CNM/ARNP) as practicing within Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where is CHRISTY L HARTLEY (CNM/ARNP)'s primary listing?
We display Vidalia, Georgia because that is what the record indicates for CHRISTY L HARTLEY (CNM/ARNP).
What if Vidalia, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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