MRS. KELLY BRUMBELOW NIX (FNP, BC) – Nurse Practitioner, NPI 1386659928
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. KELLY BRUMBELOW NIX (FNP, BC)
3825 MEDICAL PARK DR
SUITE 201
AUSTELL, GA 301066831
Phone: (770) 941-8100
Fax: (770) 948-0771
Type: Mailing
3825 Medical Park Dr
Ste 201
Austell, GA 301066831
Phone: (770) 941-8100
Fax: (770) 948-0771
Type: Location
145 N MEDICAL PKWY
WOODSTOCK, GA 301897031
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,308.
Total Amount is formed as General ($1,308) + Research ($0) + Ownership ($0) = $1,308.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($333).
Total Amount
$1,308
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,308
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $333 |
| Novo Nordisk Inc | $155 |
| GlaxoSmithKline, LLC. | $75 |
| PFIZER INC. | $68 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $66 |
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: 2006-01-11
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 |
|---|---|---|---|---|
| I20060111000026 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 110 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 101 | 77 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 64 | 64 | $0 |
| G0008 | Administration of influenza virus vaccine | 24 | 24 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 22 | 22 | $0 |
Insurance plans in this area (ZIP 30106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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