UTRENA DONSHA GRANT – Family Nurse Practitioner, NPI 1548760622

UTRENA DONSHA GRANT is a healthcare provider. based in Waycross, Georgia. specializing in Family Nurse Practitioner. They hold a License No. 178607 (GA). The NPI Number for UTRENA DONSHA GRANT is 1548760622

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
UTRENA DONSHA GRANT
NPI
1548760622
Phone
(912) 282-1340
Address
1707 SAINT MARYS DR
Enumeration Date
15 February 2018
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9124904325
Graduation Year
2016 (10 years ago)
PAC ID
6305902933
Group Practice PAC ID
0648526368
Professional Enrollment ID
I20190828001642
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for UTRENA DONSHA GRANT

  • 1707 SAINT MARYS DR

    WAYCROSS, GA 315015207

    Phone: (912) 282-1340

    Type: Location

  • 1707 Saint Marys Dr

    Waycross, GA 315015207

    Phone: (912) 282-1340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Boston Scientific Corporation ($33).

Total Amount

$95

General + Research + Ownership

Payments

4

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

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: 2019-08-28

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
I20190828001642INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes15299$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3827$0
View full utilization report →

Insurance plans in this area (ZIP 31501)

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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: 0648526368View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is there an official ID for UTRENA DONSHA GRANT in U.S. healthcare records?
The official identifier for UTRENA DONSHA GRANT is NPI 1548760622.
Is UTRENA DONSHA GRANT shown as active in public data?
Registry records indicate UTRENA DONSHA GRANT maintains an active NPI.
What area of care is associated with UTRENA DONSHA GRANT?
UTRENA DONSHA GRANT's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is UTRENA DONSHA GRANT associated with Waycross?
Public fields place UTRENA DONSHA GRANT around Waycross, Georgia. Always confirm the exact site before visiting.
Does UTRENA DONSHA GRANT accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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