JENNA POPPELL (NP) – Family Nurse Practitioner, NPI 1164964243

JENNA POPPELL (NP) is a healthcare provider. based in Thomasville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN195433 (GA). The NPI Number for JENNA POPPELL (NP) is 1164964243

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNA POPPELL (NP)
NPI
1164964243
Phone
(229) 227-5510
Address
454 SMITH AVE
Enumeration Date
7 November 2016
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292360831
Graduation Year
2016 (10 years ago)
PAC ID
7315292067
Group Practice PAC ID
8224469085
Professional Enrollment ID
I20180620001835
Address ID
GA316027316VA2209XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for JENNA POPPELL (NP)

  • 454, Smith Avenue, McLoughlin Heights, Thomasville, Thomas County, Georgia, 31792, United States

    THOMASVILLE, GA 317925535

    Phone: (229) 227-5510

    Fax: (229) 227-5527

    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 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-06-20

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
I20180620001835INurse 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15778$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10454$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5752$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes3734$0
View full utilization report →

Insurance plans in this area (ZIP 31792)

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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: 8224469085View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Family Practice, Emergency Medicine, Emergency MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I cross-check JENNA POPPELL (NP) using NPI 1164964243?
NPI 1164964243 belongs to JENNA POPPELL (NP); compare other details if you need extra assurance.
Active or inactive — what applies to JENNA POPPELL (NP)?
You should see JENNA POPPELL (NP) as active in CMS-hosted NPPES data.
What expertise is attributed to JENNA POPPELL (NP)?
JENNA POPPELL (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Georgia is JENNA POPPELL (NP) registered?
Use Thomasville, Georgia as the headline location for JENNA POPPELL (NP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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