CHARLI HICKS CLEMENTS – Orthopaedic Surgery of the Spine Physician, NPI 1467082214
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for CHARLI HICKS CLEMENTS
1470 CAAP Drive
Building 100 Suite 101
Watkinsville, GA 30677
Phone: (706) 389-8941
Fax: (706) 389-8942
Type: Location
1288 WELLBROOK CIR NE
CONYERS, GA 300128032
Phone: (678) 369-6934
Type: Location
2675 N Decatur Rd
Decatur, GA 300336131
Phone: (678) 369-6934
Type: Location
1100 WANDA CT
MONROE, GA 306558354
Phone:
Type: Mailing
367 ATHENS HWY STE 650
LOGANVILLE, GA 300527980
Phone: (706) 389-8941
Fax: (706) 389-8942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $4,090.
Total Amount is formed as General ($4,090) + Research ($0) + Ownership ($0) = $4,090.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,891).
Total Amount
$4,090
General + Research + Ownership
Payments
82
Total payment records
General Amount
$4,090
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,891 |
| Curonix LLC | $988 |
| Boston Scientific Corporation | $480 |
| Collegium Pharmaceutical, Inc. | $349 |
| Stryker Corporation | $150 |
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: 2020-06-27
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 |
|---|---|---|---|---|
| I20200627000201 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30677)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN | |
| Orthopedic Surgery | GA | |
| Physician Assistant | GA |
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