RICHARD ANTHONY PECKHAM (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174964357
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for RICHARD ANTHONY PECKHAM (RN)
817 PRINCE AVE
TIFTON, GA 317944053
Phone: (229) 376-2859
Type: Mailing
3015 VETERANS PKWY S
MOULTRIE, GA 317886705
Phone: (229) 985-4815
Fax: (229) 890-6777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$50
General + Research + Ownership
Payments
2
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
| E.R. Squibb & Sons, L.L.C. | $22 |
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: 2013-11-08
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 |
|---|---|---|---|---|
| I20131108001194 | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 707 | 397 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 519 | 315 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 170 | 157 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 109 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 40 | 37 | $0 |
Insurance plans in this area (ZIP 31794)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 67 | 59 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| P S Y C H I A T R Y | GA | |
| Physician Assistant | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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