BILLIE SALINA STOUT (FNP-C) – Family Nurse Practitioner, NPI 1114459567
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BILLIE SALINA STOUT (FNP-C)
330 MIMS RD
SYLVANIA, GA 304671904
Phone: (912) 451-5887
Fax: (478) 237-9138
Type: Mailing
1075 E Winthrope Ave
Millen, GA 304426766
Phone: (478) 249-1200
Fax: (478) 237-9138
Type: Location
1075, East Winthrope Avenue, Millen, Jenkins County, Georgia, 30442, United States
MILLEN, GA 304426766
Phone: (478) 249-1200
Fax: (478) 237-9138
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-06-12
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 |
|---|---|---|---|---|
| I20170612000997 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30467)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| O P T O M E T R Y | SC | |
| Nurse Practitioner | GA | |
| Hospitalist, Hospice/Palliative Care, Internal Medicine | SC | |
| C H I R O P R A C T I C | GA | |
| Internal Medicine | GA | |
| - | GA | |
| Clinical Social Worker | OK | |
| Nurse Practitioner | GA | |
| Physician Assistant | FL |
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