JESSICA POPLAWSKI – Family Medicine Physician, NPI 1386172948
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,117 FAMILY PRACTICE in GA
Provider Addresses for JESSICA POPLAWSKI
1120 15th St
Augusta, GA 309120004
Phone: (706) 721-7005
Type: Location
Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States
AUGUSTA, GA 309120004
Phone: (706) 721-7005
Type: Location
2077 HARBOR BLVD STE 100
COSTA MESA, CA 926279384
Phone: (949) 740-7117
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-07-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20200925002004 | I | Family Practice | GA | TBD |
| I20210820001578 | I | Family Practice | NY | TBD |
| I20231212001358 | I | Family Practice | TX | TBD |
| I20241031000779 | I | Family Practice | MI | TBD |
| I20250701004621 | I | Family Practice | CA | 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 30912)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA |
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