VICKI R DEWEESE (FNP-BC) – Nurse Practitioner, NPI 1164411559

VICKI R DEWEESE (FNP-BC) is a healthcare provider. based in Dalton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 6358 (TN). The NPI Number for VICKI R DEWEESE (FNP-BC) is 1164411559

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
VICKI R DEWEESE (FNP-BC)
NPI
1164411559
Phone
(706) 529-8710
Address
475 REED RD STE 104
Enumeration Date
18 October 2005
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068410500
Graduation Year
1999 (27 years ago)
PAC ID
2769770452
Group Practice PAC ID
1254731417
Professional Enrollment ID
I20161012002086
Address ID
GA307424016FO1638XPKWY300
Telehealth
Yes

Contacts

Secure Messaging
vicki.deweese.1@8518.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for VICKI R DEWEESE (FNP-BC)

  • Reed Road Northwest, Varnell, Whitfield County, Georgia, United States

    DALTON, GA 307206307

    Phone: (706) 529-8710

    Fax: (706) 529-8715

    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 196 Open Payments records for all available years, with a total value of $3,798.

Total Amount is formed as General ($3,798) + Research ($0) + Ownership ($0) = $3,798.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($575).

Total Amount

$3,798

General + Research + Ownership

Payments

196

Total payment records

General Amount

$3,798

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2016-10-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161012002086INurse 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
90833Psychotherapy with evaluation and management visit, 30 minutes15051$0
99213Established patient office or other outpatient visit, 20-29 minutes11649$0
99214Established patient office or other outpatient visit, 30-39 minutes10043$0
90785Psychiatric services complicated by communication factor3416$0
View full utilization report →

Insurance plans in this area (ZIP 30720)

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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: 1254731417View full group profile
NameSpecialtyState
P S Y C H I A T R YTN
Psychiatry, Pediatric MedicineGA
Clinical Social WorkerTN

Reviews

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Frequently asked questions

What is the registry number for VICKI R DEWEESE (FNP-BC)?
The registry entry for VICKI R DEWEESE (FNP-BC) shows NPI 1164411559.
Is VICKI R DEWEESE (FNP-BC)'s NPI status active today?
Active status means VICKI R DEWEESE (FNP-BC)'s NPI record is not deactivated in the public file.
What services align with VICKI R DEWEESE (FNP-BC)'s listing?
VICKI R DEWEESE (FNP-BC)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to VICKI R DEWEESE (FNP-BC)?
VICKI R DEWEESE (FNP-BC) shows a connection to Dalton, Georgia in registry-derived data.
Can I export VICKI R DEWEESE (FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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