ALYSSA TAFT (FNP-C) – Family Nurse Practitioner, NPI 1487138590

ALYSSA TAFT (FNP-C) is a healthcare provider. based in Douglas, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN248132 (GA). The NPI Number for ALYSSA TAFT (FNP-C) is 1487138590

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA TAFT (FNP-C)
NPI
1487138590
Phone
(912) 309-4275
Address
149 PEPPERCORN RD
Enumeration Date
25 September 2018
Last Update Date
25 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068613387
Graduation Year
2018 (8 years ago)
PAC ID
5597019307
Group Practice PAC ID
4880682822
Professional Enrollment ID
I20181114001875
Address ID
GA307423300FT1875XDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for ALYSSA TAFT (FNP-C)

  • 149 PEPPERCORN RD

    DOUGLAS, GA 315354949

    Phone: (912) 309-4275

    Type: Mailing

  • Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States

    DOUGLAS, GA 315332206

    Phone: (912) 383-7884

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 177 Open Payments records for all available years, with a total value of $3,356.

Total Amount is formed as General ($3,356) + Research ($0) + Ownership ($0) = $3,356.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($575).

Total Amount

$3,356

General + Research + Ownership

Payments

177

Total payment records

General Amount

$3,356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-11-14

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
I20181114001875INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes14558$0
J1100Injection, dexamethasone sodium phosphate, 1 mg14013$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12268$0
99214Established patient office or other outpatient visit, 30-39 minutes10553$0
96372Injection of drug or substance under skin or into muscle8422$0
View full utilization report →

Insurance plans in this area (ZIP 31535)

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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: 4880682822View full group profile
NameSpecialtyState
Internal MedicineWA
Mental Health CounselorGA
Nurse PractitionerGA
Mental Health CounselorGA
Mental Health CounselorGA
P S Y C H I A T R YGA
Clinical PsychologistGA
-GA
P S Y C H I A T R YGA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

What unique ID ties claims to ALYSSA TAFT (FNP-C)?
NPI 1487138590 is assigned to ALYSSA TAFT (FNP-C) under the national enumeration system.
Is ALYSSA TAFT (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ALYSSA TAFT (FNP-C)?
The page reflects Family Nurse Practitioner for ALYSSA TAFT (FNP-C). Clinical services aligned with this taxonomy classification.
Does ALYSSA TAFT (FNP-C) practice in Georgia?
You will see Douglas, Georgia on file for ALYSSA TAFT (FNP-C) alongside any extra practice locations.
Is ALYSSA TAFT (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1487138590. Always confirm identity and privileges with the practice and licensing boards.

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