JACQUELINE SMALL – Family Nurse Practitioner, NPI 1407415615
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
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Provider Addresses for JACQUELINE SMALL
3910 PLANTATION MILL DR
BUFORD, GA 305191970
Phone: (770) 314-8027
Type: Mailing
West Maple Street, Cumming, Forsyth County, Georgia, 30040, United States
CUMMING, GA 30040
Phone: (770) 888-6697
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 206 Open Payments records for all available years, with a total value of $4,058.
Total Amount is formed as General ($4,058) + Research ($0) + Ownership ($0) = $4,058.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Lilly USA, LLC ($508).
Total Amount
$4,058
General + Research + Ownership
Payments
206
Total payment records
General Amount
$4,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $508 |
| ABBVIE INC. | $495 |
| Novo Nordisk Inc | $245 |
| Astellas Pharma US Inc | $201 |
| AstraZeneca Pharmaceuticals LP | $175 |
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: 2019-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190730004591 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 469 | 355 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 188 | 188 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 100 | 22 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 30 | 27 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 25 | 22 | $0 |
Insurance plans in this area (ZIP 30519)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA |
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