NICOLE ALICIA LYTLE (PA) – Physician Assistant, NPI 1174654651
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 PHYSICIAN ASSISTANT in GA
Provider Addresses for NICOLE ALICIA LYTLE (PA)
116 S HOUSTON RD
WARNER ROBINS, GA 310883904
Phone: (478) 923-0131
Type: Location
116 S Houston Rd
Warner Robins, GA 310883904
Phone: (478) 923-0131
Type: Location
503 SAINT MARLO DR
CENTERVILLE, GA 310288005
Phone: (478) 953-1345
Type: Mailing
1199 PRINCE AVE
ATHENS, GA 306062797
Phone: (478) 464-8134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $472.
Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($125).
Total Amount
$472
General + Research + Ownership
Payments
16
Total payment records
General Amount
$472
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-02-28
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 |
|---|---|---|---|---|
| I20040715000915 | I | Physician Assistant | GA | TBD |
| I20230228001256 | I | Physician Assistant | WV | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 21 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 31088)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| H O S P I T A L I S T | GA | |
| Internal Medicine | GA | |
| Internal Medicine | GA | |
| Hospitalist, Internal Medicine | IN | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Hospitalist, Internal Medicine | GA |
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