MRS. HEATHER G DISMUKE (FNP-BC) – Family Nurse Practitioner, NPI 1386320752

MRS. HEATHER G DISMUKE (FNP-BC) is a healthcare provider. based in Moultrie, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials FNP-BC. They hold a License No. RN293813 (GA). The NPI Number for MRS. HEATHER G DISMUKE (FNP-BC) is 1386320752

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HEATHER G DISMUKE (FNP-BC)
NPI
1386320752
Phone
(229) 891-9016
Address
8 Laurel Ct
Enumeration Date
22 June 2023
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2298915308
Graduation Year
2023 (3 years ago)
PAC ID
7618336140
Group Practice PAC ID
9537458815
Professional Enrollment ID
I20230630002707
Address ID
GA317680428MO440XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for MRS. HEATHER G DISMUKE (FNP-BC)

  • 8 Laurel Ct

    Moultrie, GA 317686889

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    Type: Location

  • 3015 Veterans Pkwy S

    Moultrie, GA 317886705

    Phone: (229) 985-4815

    Type: Location

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 891-9016

    Type: Mailing

  • 101 COBBLESTONE TRCE SE

    MOULTRIE, GA 317887747

    Phone: (229) 891-9016

    Fax: (229) 891-9185

    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: 2023-06-30

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
I20230630002707IFamily PracticeGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes485211$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9691$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7874$0
99213Established patient office or other outpatient visit, 20-29 minutes5445$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3732$0
View full utilization report →

Insurance plans in this area (ZIP 31768)

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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: 9537458815View full group profile
NameSpecialtyState
Family PracticeGA
-GA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What identifier follows MRS. HEATHER G DISMUKE (FNP-BC) across health systems?
The NPI 1386320752 uniquely identifies MRS. HEATHER G DISMUKE (FNP-BC) in U.S. healthcare data.
Is MRS. HEATHER G DISMUKE (FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists MRS. HEATHER G DISMUKE (FNP-BC) as active.
Which specialty label fits MRS. HEATHER G DISMUKE (FNP-BC)?
NPPES ties MRS. HEATHER G DISMUKE (FNP-BC) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MRS. HEATHER G DISMUKE (FNP-BC) tied to Moultrie, Georgia?
If you are local to Moultrie, Georgia, MRS. HEATHER G DISMUKE (FNP-BC) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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