EMMIE NORRELL LONGSHORE – Nurse Practitioner, NPI 1184171886
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for EMMIE NORRELL LONGSHORE
222 GORDON ST
BREMEN, GA 301101519
Phone: (770) 537-1234
Fax: (770) 537-1237
Type: Mailing
527 Tanner St
Carrollton, GA 301173318
Phone: (678) 390-6575
Fax: (678) 390-6585
Type: Location
303, Smith Street, LaGrange, Troup County, Georgia, 30240, United States
LAGRANGE, GA 302402745
Phone:
Type: Mailing
21178 MAIN STREET
RANBURNE, AL 36273
Phone: (938) 526-0010
Fax: (938) 526-0011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 91 Open Payments records for all available years, with a total value of $1,258.
Total Amount is formed as General ($1,258) + Research ($0) + Ownership ($0) = $1,258.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($749).
Total Amount
$1,258
General + Research + Ownership
Payments
91
Total payment records
General Amount
$1,258
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
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: 2016-11-10
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 |
|---|---|---|---|---|
| I20161110000235 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30110)
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