JOSETTE RENEE MCMICHAEL (M.D.) – Dermatology Physician, NPI 1396061750
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 DERMATOLOGY in VA
Provider Addresses for JOSETTE RENEE MCMICHAEL (M.D.)
PO BOX 3864
MOULTRIE, GA 317763864
Phone: (229) 502-9710
Type: Mailing
24560 SOUTHPOINT DRIVE, SUITE 230
ALDIE, VA 201053505
Phone: (703) 957-0416
Fax: (833) 291-9734
Type: Location
224-D CORNWALL ST., NW SUITE 403
LEESBURG, VA 201762704
Phone: (703) 737-6010
Fax: (703) 443-8643
Type: Mailing
760, 26th Avenue Southeast, Moultrie, Colquitt County, Georgia, 31768, United States
MOULTRIE, GA 317686799
Phone: (229) 502-9710
Fax: (229) 985-5050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-06-13 • Largest payer in this snapshot: Amgen Inc. ($38).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $38 |
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: 2021-12-20
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 |
|---|---|---|---|---|
| I20211220001417 | I | Dermatology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 75 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 40 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 29 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 23 | $0 |
Insurance plans in this area (ZIP 31776)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MD | |
| - | VA | |
| Certified Nurse Midwife (Cnm) | VA | |
| - | MD | |
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| Family Practice | MD | |
| Nurse Practitioner | VA | |
| - | MD |
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