GREGORY KEITH TICE (NP-C) – Family Nurse Practitioner, NPI 1700344488
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for GREGORY KEITH TICE (NP-C)
2360 Rockmart Hwy
Cedartown, GA 301256029
Phone: (770) 749-4140
Type: Location
501 Redmond Rd NW
Rome, GA 301651415
Phone: (762) 235-3130
Type: Location
101 Redmond Rd NW
Rome, GA 301651535
Phone: (762) 235-1760
Type: Location
304 Turner McCall Blvd SW
Rome, GA 301655621
Phone: (706) 509-5000
Type: Location
512, Mohawk Avenue, Harwood Heights, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 363012222
Phone: (334) 790-5694
Type: Mailing
704, Ross Clark Circle, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 363013030
Phone: (334) 699-6396
Type: Location
118 OBRANNAN PARK DR
DOTHAN, AL 363032052
Phone: (334) 305-2800
Fax: (866) 554-1248
Type: Mailing
200 MEDICAL CARE WAY
DOTHAN, AL 363037013
Phone: (334) 305-2800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $1,398.
Total Amount is formed as General ($1,398) + Research ($0) + Ownership ($0) = $1,398.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($292).
Total Amount
$1,398
General + Research + Ownership
Payments
72
Total payment records
General Amount
$1,398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
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: 2021-06-04
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 |
|---|---|---|---|---|
| I20190531002080 | I | Nurse Practitioner | AL | TBD |
| I20210604000604 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 489 | 430 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 194 | 171 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 110 | 110 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 95 | 95 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 30125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Nurse Practitioner | AL |
Reviews
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