SEMETRIUS TRUSSELL (NP) – Family Nurse Practitioner, NPI 1386387389

SEMETRIUS TRUSSELL (NP) is a healthcare provider. based in Perry, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN201506 (GA). The NPI Number for SEMETRIUS TRUSSELL (NP) is 1386387389

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SEMETRIUS TRUSSELL (NP)
NPI
1386387389
Phone
(478) 957-5830
Address
1701 MACON RD APT 532
Enumeration Date
18 April 2022
Last Update Date
18 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4784642600
Graduation Year
2021 (5 years ago)
PAC ID
2466977889
Group Practice PAC ID
6901702059
Professional Enrollment ID
I20250418000197
Address ID
GA312013262MA6103XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for SEMETRIUS TRUSSELL (NP)

  • 1701 MACON RD APT 532

    PERRY, GA 310692381

    Phone: (478) 957-5830

    Mailing address matches the actual address.

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: 2025-04-18

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
I20250418000197INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31069)

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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: 6901702059View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Physician AssistantGA
P A T H O L O G YSC
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What NPI should I save for SEMETRIUS TRUSSELL (NP)?
Save NPI 1386387389 if you need a stable reference for SEMETRIUS TRUSSELL (NP).
Is SEMETRIUS TRUSSELL (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is SEMETRIUS TRUSSELL (NP)?
The page reflects Family Nurse Practitioner for SEMETRIUS TRUSSELL (NP). Clinical services aligned with this taxonomy classification.
What location shows for SEMETRIUS TRUSSELL (NP)?
We surface Perry, Georgia for SEMETRIUS TRUSSELL (NP) based on available NPPES addresses.
What if Perry, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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