ELIZABETH JEAN REARDON (N.P.) – Family Nurse Practitioner, NPI 1174765853
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELIZABETH JEAN REARDON (N.P.)
980 Johnson Ferry Rd Ste 220
Atlanta, GA 303421623
Phone: (404) 255-5956
Type: Location
1816 EAGLE DR STE 200-B
WOODSTOCK, GA 301898274
Phone: (404) 255-5956
Fax: (770) 575-3504
Type: Mailing
4480, North Cooper Lake Road Southeast, Smyrna, Cobb County, Georgia, 30080, United States
SUITE 201
SMYRNA, GA 300824622
Phone: (770) 333-2035
Fax: (770) 333-2059
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $2,210.
Total Amount is formed as General ($2,210) + Research ($0) + Ownership ($0) = $2,210.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($274).
Total Amount
$2,210
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,210
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $274 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $210 |
| Janssen Biotech, Inc. | $142 |
| UCB, Inc. | $139 |
| ABBVIE INC. | $109 |
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: 2012-04-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120402000302 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 137 | 114 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 51 | 47 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 32 | 20 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | 20 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 19 | 18 | $0 |
Insurance plans in this area (ZIP 30342)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 69 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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