JINA LYNN FORD (NP-C) – Nurse Practitioner, NPI 1235520214
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for JINA LYNN FORD (NP-C)
1825 MARTHA BERRY BLVD NW
ROME, GA 301651625
Phone: (706) 295-5331
Type: Mailing
PO BOX 12938
C/O CLINIC MANAGEMENT
CALHOUN, GA 30703
Phone: (706) 602-7800
Type: Mailing
1168 N MAIN ST
CEDARTOWN, GA 301252039
Phone: (770) 749-1005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $583.
Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($209).
Total Amount
$583
General + Research + Ownership
Payments
28
Total payment records
General Amount
$583
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 |
|---|---|
| Novo Nordisk Inc | $209 |
| AstraZeneca Pharmaceuticals LP | $129 |
| Lilly USA, LLC | $55 |
| ABBVIE INC. | $48 |
| GlaxoSmithKline, LLC. | $34 |
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: 2015-04-21
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 |
|---|---|---|---|---|
| I20150421000802 | 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 | 49 | 24 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 35 | 24 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 30165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| N E U R O S U R G E R Y | GA | |
| Urology, Surgical Oncology | GA | |
| Internal Medicine | GA | |
| General Surgery | GA | |
| N E U R O S U R G E R Y | VA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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