MRS. CHANDRA CHARLOTIN (APRN, FNP-C) – Family Nurse Practitioner, NPI 1326506932
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. CHANDRA CHARLOTIN (APRN, FNP-C)
559 COMMONS PARK LN
TUCKER, GA 300848925
Phone: (678) 520-4934
Type: Mailing
4424 HUGH HOWELL RD STE D
TUCKER, GA 300844905
Phone: (404) 692-4466
Fax: (415) 252-7176
Type: Location
3579 HIGHWAY 138 SE STE 103
STOCKBRIDGE, GA 302814127
Phone: (770) 629-4374
Fax: (678) 545-1735
Type: Mailing
SOUTHERN CRESCENT MEDICAL CENTER, LLC
3579 HIGHWAY 138 SE STE 103
STOCKBRIDGE, GA 30281
Phone: (770) 629-4374
Fax: (678) 545-1735
Type: Location
1 EMBARCADERO CTR FL 19
SAN FRANCISCO, CA 941113628
Phone:
Fax: (415) 252-7176
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: Amgen Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $20 |
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: 2019-12-02
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 |
|---|---|---|---|---|
| I20191202002324 | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 61 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 60 | 30 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 56 | 28 | $0 |
Insurance plans in this area (ZIP 30084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA |
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