SUSAN RACHEL ETHRIDGE (FNP) – Family Nurse Practitioner, NPI 1316922206
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SUSAN RACHEL ETHRIDGE (FNP)
PO BOX 709
ASHBURN, GA 317140709
Phone: (229) 567-3361
Type: Mailing
235 E WASHINGTON AVE
ASHBURN, GA 317145224
Phone: (229) 638-6448
Type: Mailing
235, East Washington Avenue, Ashburn, Turner County, Georgia, 31714, United States
ASHBURN, GA 317145224
Phone: (229) 778-9216
Fax: (229) 778-9218
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($124).
Total Amount
$196
General + Research + Ownership
Payments
6
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
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: 2004-03-15
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 |
|---|---|---|---|---|
| I20040315000119 | 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 | 199 | 71 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 100 | 15 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 83 | 49 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 39 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 31714)
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