DR. AUSTIN LYLE PARKER (M.D.) – Nephrology Physician, NPI 1376513796
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
431 NEPHROLOGY in GA
Provider Addresses for DR. AUSTIN LYLE PARKER (M.D.)
881 USS JAMES MADISON RD
NSSC UNDERSEA MEDICAL DEPARTMENT
KINGS BAY, GA 315472531
Phone: (912) 573-2995
Fax: (912) 573-4534
Type: Location
NMRTC PORTSMOUTH - NEPHROLOGY CLINIC
620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Phone: (757) 953-2051
Fax: (757) 953-8000
Type: Mailing
104, Monticello Drive, Kingsland, Camden County, Georgia, 31548, United States
KINGSLAND, GA 315486137
Phone: (912) 322-9274
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $455.
Total Amount is formed as General ($455) + Research ($0) + Ownership ($0) = $455.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($77).
Total Amount
$455
General + Research + Ownership
Payments
18
Total payment records
General Amount
$455
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
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: 2024-08-05
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 |
|---|---|---|---|---|
| I20240805000771 | I | Nephrology | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | VA | |
| - | VA | |
| Nephrology, Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Nephrology, Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Nephrology, Internal Medicine | VA | |
| N E P H R O L O G Y | VA | |
| Nephrology, Internal Medicine | VA |
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