LEVI JR. JELKS (NURSE PRACTITIONER) – Acute Care Nurse Practitioner, NPI 1306333083

LEVI JR. JELKS (NURSE PRACTITIONER) is a healthcare provider. based in Riverdale, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. RN130092 (GA). The NPI Number for LEVI JR. JELKS (NURSE PRACTITIONER) is 1306333083

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
LEVI JR. JELKS (NURSE PRACTITIONER)
NPI
1306333083
Phone
(770) 968-7933
Address
83 UPPER RIVERDALE ROAD
Enumeration Date
18 April 2018
Last Update Date
18 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709608855
Graduation Year
2015 (11 years ago)
PAC ID
5193136927
Group Practice PAC ID
8123389277
Professional Enrollment ID
I20201130000484
Address ID
GA302744905RI189XXWAYX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for LEVI JR. JELKS (NURSE PRACTITIONER)

  • 83, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States

    RIVERDALE, GA 302743029

    Phone: (770) 968-7933

    Type: Location

  • 138, South Riverdale Road, Avon Park, Highlands County, Florida, 33825, United States

    RIVERDALE, GA 302961819

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 80 Open Payments records for all available years, with a total value of $1,542.

Total Amount is formed as General ($1,542) + Research ($0) + Ownership ($0) = $1,542.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($457).

Total Amount

$1,542

General + Research + Ownership

Payments

80

Total payment records

General Amount

$1,542

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2020-11-30

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
I20201130000484INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes7736$0
82962Blood glucose (sugar) test performed by hand-held instrument2414$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 30274)

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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: 8123389277View full group profile
NameSpecialtyState
Family Practice, Sports MedicineGA
Physician AssistantGA
Nurse PractitionerIL
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
Family Practice, Sports MedicineGA
Family PracticeGA
Family PracticeGA

Reviews

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Frequently asked questions

Does LEVI JR. JELKS (NURSE PRACTITIONER) have a public NPI I can cite?
Public records show LEVI JR. JELKS (NURSE PRACTITIONER) under NPI 1306333083.
Is LEVI JR. JELKS (NURSE PRACTITIONER)'s NPI status active today?
Active status means LEVI JR. JELKS (NURSE PRACTITIONER)'s NPI record is not deactivated in the public file.
How should patients interpret LEVI JR. JELKS (NURSE PRACTITIONER)'s specialty?
The extract shows Acute Care Nurse Practitioner for LEVI JR. JELKS (NURSE PRACTITIONER). Clinical services aligned with this taxonomy classification.
What city is tied to LEVI JR. JELKS (NURSE PRACTITIONER)?
The directory associates LEVI JR. JELKS (NURSE PRACTITIONER) with Riverdale, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains LEVI JR. JELKS (NURSE PRACTITIONER)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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