MICHELLE DUDLEY (AGPCNP) – Gerontology Nurse Practitioner, NPI 1104276708
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for MICHELLE DUDLEY (AGPCNP)
290, Sheraton Boulevard, Macon, Bibb County, Georgia, 31210, United States
MACON, GA 312101358
Phone: (478) 633-8400
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 235 Open Payments records for all available years, with a total value of $4,420.
Total Amount is formed as General ($4,420) + Research ($0) + Ownership ($0) = $4,420.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,148).
Total Amount
$4,420
General + Research + Ownership
Payments
235
Total payment records
General Amount
$4,420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,148 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $757 |
| Janssen Biotech, Inc. | $326 |
| Celgene Corporation | $253 |
| Merck Sharp & Dohme LLC | $119 |
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: 2016-08-17
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 |
|---|---|---|---|---|
| I20160817001563 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | 148 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 125 | 122 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 94 | 93 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 31210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | NC | |
| Physician Assistant | GA | |
| - | GA | |
| N E U R O L O G Y | GA | |
| Gynecological Oncology | LA | |
| General Surgery | GA | |
| General Surgery | GA | |
| - | GA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Orthopedic Surgery | GA |
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