MACY PHILLIPS TABB (DO) – Family Medicine Physician, NPI 1134756463
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
Provider Addresses for MACY PHILLIPS TABB (DO)
743 SPRING ST NE REAR 710
GAINESVILLE, GA 305013899
Phone: (770) 219-8730
Type: Mailing
1500 E SHOTWELL ST
BAINBRIDGE, GA 398194256
Phone: (229) 246-3500
Type: Mailing
505 AMELIA AVE
BAINBRIDGE, GA 398194355
Phone: (229) 243-6900
Fax: (229) 243-6919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $560.
Total Amount is formed as General ($560) + Research ($0) + Ownership ($0) = $560.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Novo Nordisk Inc ($99).
Total Amount
$560
General + Research + Ownership
Payments
32
Total payment records
General Amount
$560
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
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $99 |
| Dexcom, Inc. | $82 |
| Corcept Therapeutics | $77 |
| Lilly USA, LLC | $53 |
| AstraZeneca Pharmaceuticals LP | $36 |
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: 2023-09-21
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 |
|---|---|---|---|---|
| I20230921000248 | I | Family Practice | 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 | 32 | 18 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| O P T O M E T R Y | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| General Surgery | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Family Practice | FL | |
| Family Practice | FL | |
| - | GA | |
| - | GA |
Reviews
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