JENNIFER ANN HALES (NP-C #F05200177) – Nurse Practitioner, NPI 1285241265

JENNIFER ANN HALES (NP-C #F05200177) is a healthcare provider. based in Guyton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C #F05200177. They hold a License No. RN196020 (GA). The NPI Number for JENNIFER ANN HALES (NP-C #F05200177) is 1285241265

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN HALES (NP-C #F05200177)
NPI
1285241265
Phone
(912) 414-6034
Address
4315 COURTHOUSE RD
Enumeration Date
24 September 2020
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123548331
Graduation Year
2020 (6 years ago)
PAC ID
7618389602
Group Practice PAC ID
6305163650
Professional Enrollment ID
I20201216000909
Address ID
GA314191793SA11909DRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for JENNIFER ANN HALES (NP-C #F05200177)

  • 4315 COURTHOUSE RD

    GUYTON, GA 313125437

    Phone: (912) 414-6034

    Type: Mailing

  • 11090 MCAULEY

    SUITE 100 2A

    SAVANNAH, GA 31419

    Phone: (912) 354-8331

    Type: Location

  • 836 E 65TH ST STE 22

    SAVANNAH, GA 314054493

    Phone: (912) 414-6034

    Type: Mailing

  • 11909 MCAULEY DR STE 1002A

    SAVANNAH, GA 314191793

    Phone: (912) 354-8331

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $237.

Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Inari Medical, Inc. ($153).

Total Amount

$237

General + Research + Ownership

Payments

10

Total payment records

General Amount

$237

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-12-16

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
I20201216000909INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes10642$0
99214Established patient office or other outpatient visit, 30-39 minutes2822$0
View full utilization report →

Insurance plans in this area (ZIP 31312)

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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: 6305163650View full group profile
NameSpecialtyState
-GA
General Surgery, Vascular SurgeryGA
Nurse PractitionerGA
Nurse PractitionerGA
General Surgery, Vascular SurgerySC
Vascular SurgeryGA

Reviews

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Frequently asked questions

Is JENNIFER ANN HALES (NP-C #F05200177) listed with a National Provider Identifier?
Yes — JENNIFER ANN HALES (NP-C #F05200177) has NPI 1285241265 on file in the registry.
Would JENNIFER ANN HALES (NP-C #F05200177) appear as active to a payer?
You can treat JENNIFER ANN HALES (NP-C #F05200177) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JENNIFER ANN HALES (NP-C #F05200177)?
JENNIFER ANN HALES (NP-C #F05200177) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER ANN HALES (NP-C #F05200177)?
Travel planning: use Guyton, Georgia as the reference point for JENNIFER ANN HALES (NP-C #F05200177), then confirm.
Can I trust this NPI listing for JENNIFER ANN HALES (NP-C #F05200177)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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