HOLLY RENEE CLEMONS (M.D.) – Family Medicine Physician, NPI 1528354560
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HOLLY RENEE CLEMONS (M.D.)
777 HEMLOCK ST
MACON, GA 312012102
Phone: (478) 633-5500
Fax: (478) 784-5496
Type: Location
7 HAWTHORNE LN STE A
SULLIVAN, IL 619519490
Phone: (217) 728-8441
Fax: (217) 728-8678
Type: Location
21300 N John Wayne Pkwy Ste 115
Maricopa, AZ 851398978
Phone: (520) 426-3424
Type: Location
777 Hemlock St
Macon, GA 312012102
Phone: (478) 633-5500
Fax: (478) 784-5496
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $201.
Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Lilly USA, LLC ($60).
Total Amount
$201
General + Research + Ownership
Payments
11
Total payment records
General Amount
$201
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-09-29
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 |
|---|---|---|---|---|
| I20140929001351 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 167 | 128 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 40 | 37 | $0 |
Insurance plans in this area (ZIP 31201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Internal Medicine, Infectious Disease | GA | |
| - | GA | |
| - | GA | |
| Physician Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| N E U R O L O G Y | GA |
Reviews
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