DANA S DUDLEY (NP) – Family Nurse Practitioner, NPI 1205410230

DANA S DUDLEY (NP) is a healthcare provider. based in Augusta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 000194 (GA). The NPI Number for DANA S DUDLEY (NP) is 1205410230

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DANA S DUDLEY (NP)
NPI
1205410230
Phone
(706) 722-4245
Address
818 ST SEBASTIAN WAY
Enumeration Date
6 May 2021
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067361830213
Graduation Year
2021 (5 years ago)
PAC ID
8022416346
Group Practice PAC ID
8921089756
Professional Enrollment ID
I20211018000406
Address ID
GA309096520AU3696XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for DANA S DUDLEY (NP)

  • 818 ST SEBASTIAN WAY

    PROFESSIONAL OFFICE BUILDING 2, SUITE 400

    AUGUSTA, GA 30901

    Phone: (706) 722-4245

    Type: Mailing

  • 3696 WHEELER RD

    AUGUSTA, GA 309096520

    Phone: (706) 736-1830

    Fax: (706) 650-7553

    Type: Mailing

  • 222 UNIVERSITY PKWY

    AIKEN, SC 298016310

    Phone: (803) 306-1438

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 405 Open Payments records for all available years, with a total value of $9,093.

Total Amount is formed as General ($9,093) + Research ($0) + Ownership ($0) = $9,093.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,719).

Total Amount

$9,093

General + Research + Ownership

Payments

405

Total payment records

General Amount

$9,093

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211018000406INurse PractitionerGATBD
I20240116000383INurse PractitionerSCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8878$0
36415Insertion of needle into vein for collection of blood sample1414$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1414$0
View full utilization report →

Insurance plans in this area (ZIP 30901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921089756View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
Nurse Practitioner, Undefined Physician Type (Specify)SC
O B S T E T R I C S/ G Y N E C O L O G YGA
Obstetrics/Gynecology, Gynecological OncologyGA
U R O L O G YGA
Hematology/Oncology, Internal MedicineGA
R H E U M A T O L O G YMT
H E M A T O L O G Y/ O N C O L O G YGA
Hematology/Oncology, Internal MedicineSC

Reviews

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Frequently asked questions

Is there an official ID for DANA S DUDLEY (NP) in U.S. healthcare records?
The official identifier for DANA S DUDLEY (NP) is NPI 1205410230.
Is DANA S DUDLEY (NP) shown as active in public data?
Registry records indicate DANA S DUDLEY (NP) maintains an active NPI.
What expertise is attributed to DANA S DUDLEY (NP)?
DANA S DUDLEY (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DANA S DUDLEY (NP) associated with Augusta?
Public fields place DANA S DUDLEY (NP) around Augusta, Georgia. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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