TRACY LEIGH RIDER (NP) – Acute Care Nurse Practitioner, NPI 1245621168

TRACY LEIGH RIDER (NP) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN102391 (GA). The NPI Number for TRACY LEIGH RIDER (NP) is 1245621168

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TRACY LEIGH RIDER (NP)
NPI
1245621168
Phone
(770) 219-8420
Address
PO BOX 742616
Enumeration Date
13 February 2015
Last Update Date
4 January 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6507183670
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20150330001460
Address ID
GA305175600BR1404XPLXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for TRACY LEIGH RIDER (NP)

  • PO BOX 742616

    ATLANTA, GA 303742616

    Phone: (770) 219-8420

    Fax: (770) 219-8440

    Type: Mailing

  • 743 SPRING ST NE

    GAINESVILLE, GA 305013715

    Phone: (770) 219-2627

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: ABIOMED ($52).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$52
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: 2015-03-30

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150330001460INurse PractitionerGATBD

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
99291Critical care, first 30-74 minutes9872$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Provider's Procedures

TRACY LEIGH RIDER (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERGA36556Insertion of central venous catheter for infusion, patient 5 years or older1212

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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

What unique ID ties claims to TRACY LEIGH RIDER (NP)?
NPI 1245621168 is assigned to TRACY LEIGH RIDER (NP) under the national enumeration system.
Is TRACY LEIGH RIDER (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TRACY LEIGH RIDER (NP)?
The page reflects Acute Care Nurse Practitioner for TRACY LEIGH RIDER (NP). Clinical services aligned with this taxonomy classification.
Where is TRACY LEIGH RIDER (NP)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for TRACY LEIGH RIDER (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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