AMBER REAVES (NP) – Nurse Practitioner, NPI 1417567280

AMBER REAVES (NP) is a healthcare provider. based in Winston, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN211206 (GA). The NPI Number for AMBER REAVES (NP) is 1417567280

Main info

Female
6 Years Of Experience
Name
AMBER REAVES (NP)
NPI
1417567280
Phone
(404) 978-5501
Address
9450 GRANDE DR
Enumeration Date
5 August 2020
Last Update Date
5 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2293331000
Graduation Year
2020 (6 years ago)
PAC ID
8123431103
Group Practice PAC ID
4587676945
Professional Enrollment ID
I20210112001864
Address ID
GA316021735VA2501XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMBER REAVES (NP)

  • 9450 GRANDE DR

    WINSTON, GA 301872305

    Phone: (404) 978-5501

    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: 2021-01-12

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
I20210112001864INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes142135$0
View full utilization report →

Insurance plans in this area (ZIP 30187)

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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: 4587676945View full group profile
NameSpecialtyState
-GA
Hospitalist, Internal MedicinePA
H O S P I T A L I S TGA
Hospitalist, Internal MedicineGA
Hospitalist, Internal MedicineWI
Nurse PractitionerNC
General PracticeSC
Nurse PractitionerAL
Family PracticeGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Does AMBER REAVES (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMBER REAVES (NP) uses 1417567280.
Is AMBER REAVES (NP) listed as active for patients and plans?
The listing shows AMBER REAVES (NP) as active in the NPI system.
What is AMBER REAVES (NP)'s primary classification?
Nurse Practitioner is the headline specialty for AMBER REAVES (NP) here. Clinical services aligned with this taxonomy classification.
Where is AMBER REAVES (NP) based?
AMBER REAVES (NP) is tied to Winston, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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