Unknown Individual – Nurse Practitioner, NPI 1134524036
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1499 FAIR RD
STATESBORO, GA 304581683
Phone: (912) 839-2810
Fax: (912) 839-2808
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 21 Open Payments records for all available years, with a total value of $423.
Total Amount is formed as General ($423) + Research ($0) + Ownership ($0) = $423.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($126).
Total Amount
$423
General + Research + Ownership
Payments
21
Total payment records
General Amount
$423
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 | 90 | 61 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 48 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 42 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 30 | 28 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 29 | 16 | $0 |
Insurance plans in this area (ZIP 30458)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 82270 | Stool analysis for blood to screen for colon tumors | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Hospitalist, Internal Medicine | GA | |
| Hospitalist, Internal Medicine | TN | |
| - | SC | |
| Internal Medicine | GA | |
| Internal Medicine | NY | |
| Internal Medicine | VA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
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