MS. ANDREA M DELOACH (FNP-C) – Family Nurse Practitioner, NPI 1114007044

MS. ANDREA M DELOACH (FNP-C) is a healthcare provider. based in Waycross, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN072616 (GA). The NPI Number for MS. ANDREA M DELOACH (FNP-C) is 1114007044

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANDREA M DELOACH (FNP-C)
NPI
1114007044
Phone
(912) 283-9423
Address
711 KNIGHT AVE
Enumeration Date
16 October 2006
Last Update Date
11 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122839423
Graduation Year
2000 (26 years ago)
PAC ID
9537263637
Group Practice PAC ID
0749276004
Professional Enrollment ID
I20070329000447
Address ID
GA315011943WA711XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MS. ANDREA M DELOACH (FNP-C)

  • 711, Knight Avenue, Waycross, Ware County, Georgia, 31501, United States

    WAYCROSS, GA 315011943

    Phone: (912) 283-9423

    Fax: (912) 283-2946

    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 37 Open Payments records for all available years, with a total value of $794.

Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($131).

Total Amount

$794

General + Research + Ownership

Payments

37

Total payment records

General Amount

$794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2007-03-29

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
I20070329000447INurse 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 31501)

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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: 0749276004View full group profile
NameSpecialtyState
Internal MedicineGA
Nurse PractitionerGA
Internal MedicineGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for MS. ANDREA M DELOACH (FNP-C)?
The registry entry for MS. ANDREA M DELOACH (FNP-C) shows NPI 1114007044.
Does the public listing show MS. ANDREA M DELOACH (FNP-C) as active?
MS. ANDREA M DELOACH (FNP-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits MS. ANDREA M DELOACH (FNP-C)?
NPPES ties MS. ANDREA M DELOACH (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. ANDREA M DELOACH (FNP-C)?
MS. ANDREA M DELOACH (FNP-C) shows a connection to Waycross, Georgia in registry-derived data.
Why is information missing for MS. ANDREA M DELOACH (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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