Unknown Individual – Acute Care Nurse Practitioner, NPI 1194383075
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 715
TIFTON, GA 317930715
Phone: (229) 391-9281
Fax: (229) 391-9857
Type: Mailing
110 E 13TH AVE
CORDELE, GA 310154245
Phone: (229) 273-0359
Fax: (229) 273-0360
Type: Mailing
1205, Tift Avenue North, Tifton, Tift County, Georgia, 31794, United States
TIFTON, GA 31794
Phone: (229) 391-9281
Fax: (229) 391-9857
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,973.
Total Amount is formed as General ($1,973) + Research ($0) + Ownership ($0) = $1,973.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Gilead Sciences, Inc. ($1,069).
Total Amount
$1,973
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,973
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $1,069 |
| ViiV Healthcare Company | $210 |
| Sumitomo Pharma America, Inc. | $125 |
| AstraZeneca Pharmaceuticals LP | $125 |
| Novo Nordisk Inc | $115 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 31793)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA |
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