SANDRA ELAINE DUBOSE (FNP) – Family Nurse Practitioner, NPI 1548264047
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for SANDRA ELAINE DUBOSE (FNP)
PO BOX 740015
ATLANTA, GA 303740015
Phone: (312) 733-9730
Type: Mailing
1631 GORDON HWY STE 17A
AUGUSTA, GA 309062229
Phone: (706) 230-7006
Fax: (762) 257-7442
Type: Location
1 Freedom Way
Router 313
Augusta, GA 309046258
Phone: (706) 733-0188
Fax: (706) 481-6729
Type: Location
Charlie Norwood VA Medical Center - Uptown Division, 1, Freedom Way, King Estates, Augusta, Richmond County, Georgia, 30904, United States
ROUTER 21
AUGUSTA, GA 309046258
Phone: (706) 733-0188
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($106).
Total Amount
$250
General + Research + Ownership
Payments
13
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
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: 2024-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150227001290 | I | Nurse Practitioner | SC | TBD |
| I20240514003173 | 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 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
Reviews
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