BRENNAN DUCKWORTH (FNP-C) – Acute Care Nurse Practitioner, NPI 1619420791

BRENNAN DUCKWORTH (FNP-C) is a healthcare provider. based in Midland, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN209663 (GA). The NPI Number for BRENNAN DUCKWORTH (FNP-C) is 1619420791

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
BRENNAN DUCKWORTH (FNP-C)
NPI
1619420791
Phone
(706) 587-0118
Address
6527 MALLARD DR
Enumeration Date
26 July 2016
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
6204123789
Group Practice PAC ID
8729381033
Professional Enrollment ID
I20160927002002
Address ID
GA319046877CO2300XEXPY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for BRENNAN DUCKWORTH (FNP-C)

  • 6527 MALLARD DR

    MIDLAND, GA 318203729

    Phone: (706) 587-0118

    Type: Mailing

  • Manchester Expressway, Lakeshore, Crystal Valley, Columbus, Muscogee County, Georgia, 31909, United States

    COLUMBUS, GA 319046878

    Phone: (706) 587-0118

    Type: Location

  • 2300 MANCHESTER EXPY STE 2001A

    COLUMBUS, GA 319046802

    Phone: (706) 320-3126

    Fax: (706) 320-3054

    Type: Mailing

  • 2300 MANCHESTER EXPY STE C003

    COLUMBUS, GA 319046877

    Phone: (706) 324-7753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($327).

Total Amount

$521

General + Research + Ownership

Payments

12

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

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: 2016-09-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160927002002INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31820)

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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: 8729381033View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
-WI
Physician AssistantGA
Diagnostic RadiologyNY
N E U R O L O G YGA
-GA
P S Y C H I A T R YGA
Physician AssistantGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

Can I verify BRENNAN DUCKWORTH (FNP-C) with an NPI only?
You can start verification with NPI 1619420791 for BRENNAN DUCKWORTH (FNP-C), then check state licensing separately.
Is BRENNAN DUCKWORTH (FNP-C) listed as active for patients and plans?
The listing shows BRENNAN DUCKWORTH (FNP-C) as active in the NPI system.
What taxonomy line describes BRENNAN DUCKWORTH (FNP-C)?
For research purposes, treat BRENNAN DUCKWORTH (FNP-C) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does BRENNAN DUCKWORTH (FNP-C) list a practice location?
Patients near Midland, Georgia may find BRENNAN DUCKWORTH (FNP-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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