WAYNE HOLT DENTON (MD) – Psychiatry Physician, NPI 1174580153
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
832 PSYCHIATRY in GA
Provider Addresses for WAYNE HOLT DENTON (MD)
633 Stephenson Ave
Savannah, GA 314055970
Phone: (912) 354-3911
Type: Location
250 DEWEY AVE
SPARTANBURG, SC 293033009
Phone: (864) 585-0366
Type: Mailing
Tallahassee Memorial Behavioral Health Center, 1616, Physicians Drive, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323084619
Phone: (850) 431-5105
Fax: (850) 431-5701
Type: Mailing
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: 2022-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200828002859 | I | Psychiatry | GA | TBD |
| I20220525002009 | I | Psychiatry | SC | 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 31405)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | FL | 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | WV | |
| - | GA | |
| - | GA | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA |
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