AMANDA NICOLE CLEGHORNE (NP) – Primary Care Nurse Practitioner, NPI 1104277474
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for AMANDA NICOLE CLEGHORNE (NP)
4355 BROWNS BRIDGE RD
CUMMING, GA 300414554
Phone: (770) 771-5050
Fax: (770) 771-5051
Type: Mailing
4355 BROWNS BRIDGE RD STE 1
CUMMING, GA 300414554
Phone: (770) 771-5050
Fax: (770) 771-5051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-04-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($122).
Total Amount
$333
General + Research + Ownership
Payments
13
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $122 |
| ABBVIE INC. | $57 |
| Novo Nordisk Inc | $40 |
| VBI Vaccines (Delaware) Inc. | $29 |
| GlaxoSmithKline, LLC. | $21 |
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: 2017-01-11
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 |
|---|---|---|---|---|
| I20170111000067 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 64 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 49 | 40 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 23 | 22 | $0 |
Insurance plans in this area (ZIP 30041)
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