SUSAN R. PRESCOTT (NP) – Nurse Practitioner, NPI 1639267099
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for SUSAN R. PRESCOTT (NP)
157, Clinic Avenue, Carrollton, Carroll County, Georgia, 30117, United States
SUITE 201
CARROLLTON, GA 301174454
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Mailing
1030 Main St S Ste 201
Wedowee, AL 362787440
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
157 CLINIC AVE STE 201
CARROLLTON, GA 301174454
Phone: (770) 214-2800
Fax: (770) 214-2803
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 57 Open Payments records for all available years, with a total value of $1,096.
Total Amount is formed as General ($1,096) + Research ($0) + Ownership ($0) = $1,096.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ABBVIE INC. ($370).
Total Amount
$1,096
General + Research + Ownership
Payments
57
Total payment records
General Amount
$1,096
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
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: 2007-10-03
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 |
|---|---|---|---|---|
| I20071003000724 | 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.
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 | 186 | 163 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 74 | 74 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 63 | 63 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 30117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| G A S T R O E N T E R O L O G Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| G A S T R O E N T E R O L O G Y | GA |
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