AMY D IMES (APRN, BC) – Gerontology Nurse Practitioner, NPI 1710036686

AMY D IMES (APRN, BC) is a healthcare provider. based in Griffin, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, BC. They hold a License No. 139646 (GA). The NPI Number for AMY D IMES (APRN, BC) is 1710036686

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMY D IMES (APRN, BC)
NPI
1710036686
Phone
(478) 244-1427
Address
PO BOX 421
Enumeration Date
9 January 2007
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4047787525
Graduation Year
2005 (21 years ago)
PAC ID
6406079581
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20240315000358
Address ID
GA303221013AT1365XNEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMY D IMES (APRN, BC)

  • PO BOX 421

    GRIFFIN, GA 302240011

    Phone: (478) 244-1427

    Type: Mailing

  • 299 N HIGHLAND AVE NE UNIT 3038

    ATLANTA, GA 303075640

    Phone: (478) 244-1427

    Type: Mailing

  • 1155 PERIMETER CTR FL 11

    ATLANTA, GA 303385463

    Phone: (404) 220-7334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $408.

Total Amount is formed as General ($408) + Research ($0) + Ownership ($0) = $408.

Last reported payment date: 2024-01-11 • Largest payer in this snapshot: SCPHARMACEUTICALS INC. ($124).

Total Amount

$408

General + Research + Ownership

Payments

5

Total payment records

General Amount

$408

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-11

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: 2024-03-15

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
I20240315000358INurse 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 30224)

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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: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMY D IMES (APRN, BC)?
AMY D IMES (APRN, BC) — NPI 1710036686 — is the standard way to identify this listing.
Does CMS list AMY D IMES (APRN, BC) as active?
Yes — AMY D IMES (APRN, BC) is active in the NPI listing used on this page.
What is AMY D IMES (APRN, BC)'s primary classification?
Gerontology Nurse Practitioner is the headline specialty for AMY D IMES (APRN, BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for AMY D IMES (APRN, BC)?
AMY D IMES (APRN, BC)'s geographic hint is Griffin, Georgia in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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