EUNICE THEODOR (FNP) – Family Nurse Practitioner, NPI 1720471147
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for EUNICE THEODOR (FNP)
4575 Webb Bridge Rd
Alpharetta, GA 300054256
Phone: (757) 598-2168
Type: Location
8820 HOSPITAL DR
DOUGLASVILLE, GA 301342266
Phone: (770) 947-3000
Fax: (770) 947-3012
Type: Mailing
191 FOX HILL RD
SUITE D
HAMPTON, VA 236692360
Phone: (757) 850-1311
Fax: (757) 850-7315
Type: Mailing
856 J CLYDE MORRIS BLVD
SUITE A
NEWPORT NEWS, VA 236011318
Phone: (757) 594-3407
Type: Location
4575 WEBB BRIDGE RD
ALPHARETTA, GA 300054256
Phone: (757) 598-2168
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $487.
Total Amount is formed as General ($487) + Research ($0) + Ownership ($0) = $487.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($163).
Total Amount
$487
General + Research + Ownership
Payments
20
Total payment records
General Amount
$487
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $163 |
| Phathom Pharmaceuticals, Inc. | $70 |
| PFIZER INC. | $61 |
| Novo Nordisk Inc | $52 |
| Lilly USA, LLC | $39 |
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: 2022-04-20
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 |
|---|---|---|---|---|
| I20220420000024 | 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 | 20 | 20 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 17 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 30005)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
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