BOBBY JEAN MUSGROVE (NP-C, NP-BC) – Family Nurse Practitioner, NPI 1710539911

BOBBY JEAN MUSGROVE (NP-C, NP-BC) is a healthcare provider. based in Axson, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C, NP-BC. They hold a License No. RN118123 (GA). The NPI Number for BOBBY JEAN MUSGROVE (NP-C, NP-BC) is 1710539911

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
BOBBY JEAN MUSGROVE (NP-C, NP-BC)
NPI
1710539911
Phone
(912) 850-8007
Address
1292 LIGE RD
Enumeration Date
9 July 2019
Last Update Date
12 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122649111
Graduation Year
2019 (7 years ago)
PAC ID
7214326776
Group Practice PAC ID
3274559323
Professional Enrollment ID
I20211123000417
Address ID
GA315256721BR485XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for BOBBY JEAN MUSGROVE (NP-C, NP-BC)

  • 1292 LIGE RD

    AXSON, GA 316245728

    Phone: (912) 850-8007

    Type: Mailing

  • 664 MAIN ST N

    PEARSON, GA 316427549

    Phone: (912) 422-7073

    Type: Location

  • 204 E 4TH ST

    OCILLA, GA 317741539

    Phone: (229) 468-9166

    Fax: (229) 468-9188

    Type: Mailing

  • 1309 OCILLA RD STE A

    DOUGLAS, GA 315332209

    Phone: (129) 384-2252

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Amgen Inc. ($64).

Total Amount

$121

General + Research + Ownership

Payments

6

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

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: 2021-11-23

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
I20211123000417INurse 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 31624)

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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: 3274559323View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Family Practice, Physical Medicine And RehabilitationGA
Nurse PractitionerGA
-GA
-GA

Reviews

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Frequently asked questions

What federal number belongs to BOBBY JEAN MUSGROVE (NP-C, NP-BC)?
The federal identifier for BOBBY JEAN MUSGROVE (NP-C, NP-BC) is NPI 1710539911.
Is BOBBY JEAN MUSGROVE (NP-C, NP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does BOBBY JEAN MUSGROVE (NP-C, NP-BC) work in?
You can think of BOBBY JEAN MUSGROVE (NP-C, NP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for BOBBY JEAN MUSGROVE (NP-C, NP-BC)?
We surface Axson, Georgia for BOBBY JEAN MUSGROVE (NP-C, NP-BC) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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