MRS. MARY DEASON PERRITT (FNP) – Nurse Practitioner, NPI 1164081311

MRS. MARY DEASON PERRITT (FNP) is a healthcare provider. based in Waycross, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN203206 (GA). The NPI Number for MRS. MARY DEASON PERRITT (FNP) is 1164081311

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY DEASON PERRITT (FNP)
NPI
1164081311
Phone
(404) 272-9146
Address
611 KENWOOD DR
Enumeration Date
11 June 2019
Last Update Date
11 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124494426
Graduation Year
2019 (7 years ago)
PAC ID
0345571204
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20191008002757
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. MARY DEASON PERRITT (FNP)

  • 611 KENWOOD DR

    WAYCROSS, GA 315016903

    Phone: (404) 272-9146

    Type: Mailing

  • 2700 N OAK ST BLDG B

    VALDOSTA, GA 316025903

    Phone: (229) 249-8687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,163.

Total Amount is formed as General ($1,163) + Research ($0) + Ownership ($0) = $1,163.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($162).

Total Amount

$1,163

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2019-10-08

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
I20191008002757INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13370$0
36415Insertion of needle into vein for collection of blood sample8955$0
99213Established patient office or other outpatient visit, 20-29 minutes8768$0
96372Injection of drug or substance under skin or into muscle8340$0
81003Automated urinalysis test3127$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

Loading plans...

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: 4284951542View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for MRS. MARY DEASON PERRITT (FNP)?
Save NPI 1164081311 if you need a stable reference for MRS. MARY DEASON PERRITT (FNP).
Does this profile mean MRS. MARY DEASON PERRITT (FNP) is currently active?
Yes — MRS. MARY DEASON PERRITT (FNP) appears active in the national provider directory.
Does MRS. MARY DEASON PERRITT (FNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MRS. MARY DEASON PERRITT (FNP). Clinical services aligned with this taxonomy classification.
Where is MRS. MARY DEASON PERRITT (FNP)'s primary listing?
We display Waycross, Georgia because that is what the record indicates for MRS. MARY DEASON PERRITT (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MRS. ANDREA D MOODY (N.P.)

Nurse Practitioner
1921, Alice Street, Waycross, Ware County, Georgia, 31501, United States
NPI: 1285660365

CONNIE M BUSSEY (NP)

Nurse Practitioner
Ware County Health Center, 604, Riverside Avenue, Waycross, Ware County, Georgia, 31501, United States
NPI: 1942239587

ROBIN S TODD (NP)

Women's Health Nurse Practitioner
604 Riverside Ave
NPI: 1558390104

PAMELA B CARTER (NP)

Nurse Practitioner
1101, Church Street, Waycross, Ware County, Georgia, 31501, United States
NPI: 1073543435
515 RIVERSIDE DR
NPI: 1942233762

NANCY W FUTCH (NP)

Nurse Practitioner
Ware County Health Center, 604, Riverside Avenue, Waycross, Ware County, Georgia, 31501, United States
NPI: 1568496057

MRS. CHERYL LYNN TYLER (NP)

Nurse Practitioner
218, Quarterman Street, Waycross, Ware County, Georgia, 31501, United States
NPI: 1508878448

DEIRDRE K O'BRIEN (NP-C)

Nurse Practitioner
1406, Habersham Drive, Waycross, Ware County, Georgia, 31501, United States
NPI: 1366636664