Unknown Individual – Acute Care Clinical Nurse Specialist, NPI 1447794755
Acute Care Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 370
FORTSON, GA 318080370
Phone:
Fax: (706) 494-8003
Type: Mailing
394 HARDING PL STE 200
NASHVILLE, TN 372113980
Phone: (615) 834-4482
Fax: (615) 834-4722
Type: Location
PO BOX 210127
NASHVILLE, TN 372210127
Phone: (615) 383-2443
Fax: (615) 383-0853
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $978.
Total Amount is formed as General ($978) + Research ($0) + Ownership ($0) = $978.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Abbott Laboratories ($746).
Total Amount
$978
General + Research + Ownership
Payments
42
Total payment records
General Amount
$978
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $746 |
| Boston Scientific Corporation | $232 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 |
|---|---|---|---|---|
| I20170220002065 | I | Nurse Practitioner | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31808)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IL | |
| - | TN | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hand Surgery, Orthopedic Surgery | LA | |
| Physical Therapist In Private Practice | GA | |
| Sports Medicine, Orthopedic Surgery | GA | |
| Hand Surgery, Orthopedic Surgery | GA | |
| Sports Medicine, Orthopedic Surgery | TN | |
| Orthopedic Surgery | GA |
Reviews
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