DEKOZLYMN ANDERSON (CRNP) – Family Nurse Practitioner, NPI 1134556061
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for DEKOZLYMN ANDERSON (CRNP)
1821 Mount Zion Rd
Morrow, GA 302603015
Phone: (850) 304-7986
Type: Location
941 N 14th St
Leesburg, FL 347483838
Phone: (850) 304-7986
Type: Location
2001 E Greenville St
Anderson, SC 296211529
Phone: (850) 304-7986
Type: Location
7525 Tidewater Dr Ste 19
Norfolk, VA 235053700
Phone: (850) 304-7986
Type: Location
7551 Youree Dr Ste 11
Shreveport, LA 711055533
Phone: (850) 304-7986
Type: Location
545 Gulfgate Center Mall
Houston, TX 770873023
Phone: (850) 304-7986
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (850) 304-7986
Type: Mailing
9515 W CAMELBACK RD STE 136&138
PHOENIX, AZ 850371355
Phone: (850) 304-7986
Type: Location
1720 2ND AVE S
TKC 2ND - HEMATOLOGY/ONCOLOGY
BIRMINGHAM, AL 352940271
Phone: (205) 801-8415
Type: Mailing
2000 6TH AVE S
BIRMINGHAM, AL 352332110
Phone: (205) 801-8000
Type: Location
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: 2026-02-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20231002000468 | I | Nurse Practitioner | AZ | TBD |
| I20250818002227 | I | Nurse Practitioner | TX | TBD |
| I20251111001744 | I | Nurse Practitioner | LA | TBD |
| I20251111003646 | I | Nurse Practitioner | TN | TBD |
| I20260219004640 | 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 30260)
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