TANGELLA E RUSSELL (CNP) – Family Nurse Practitioner, NPI 1275637639
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
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Provider Addresses for TANGELLA E RUSSELL (CNP)
20 FRANCIS WAY
SUITE 101
SHARPSBURG, GA 30277
Phone: (770) 253-0611
Fax: (770) 502-0521
Type: Mailing
1267, Highway 54 West, Fayetteville, Fayette County, Georgia, 30214, United States
SUITE 2200
FAYETTEVILLE, GA 302142114
Phone: (770) 716-0051
Fax: (770) 716-0087
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $1,400.
Total Amount is formed as General ($1,400) + Research ($0) + Ownership ($0) = $1,400.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($151).
Total Amount
$1,400
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
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: 2004-10-19
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 |
|---|---|---|---|---|
| I20041019000181 | 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 | 295 | 243 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 53 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 39 | $0 |
Insurance plans in this area (ZIP 30277)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | OH | |
| Nurse Practitioner | GA | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | GA |
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