AMY MARIE HEAD (NP-C) – Family Nurse Practitioner, NPI 1740567809

Family Nurse Practitioner

AMY MARIE HEAD (NP-C) is a healthcare provider. based in Peachtree city, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. RN144931 (GA). The NPI Number for AMY MARIE HEAD (NP-C) is 1740567809

Main info

Female

Sole Proprietor

15 Years Of Experience

Accepts Medicare Assignment

Name

AMY MARIE HEAD (NP-C)

NPI

1740567809

Phone

(770) 631-9292

Address

PO BOX 2168

Enumeration Date

3 November 2011

Last Update Date

10 November 2020

Doctor Profile

Medical School Name

MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE

Secondary Phone

6784086418

Graduation Year

2011 (15 years ago)

PAC ID

3274700760

Group Practice PAC ID

1759378938

Professional Enrollment ID

I20120124000932

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for AMY MARIE HEAD (NP-C)

PO BOX 2168
PEACHTREE CITY, GA 302690168
Phone: (770) 631-9292
Type: Mailing
1657 N EXPRESSWAY
GRIFFIN, GA 302231276
Phone: (770) 631-9292
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-01-24

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

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
I20120124000932	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.

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 30269)

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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: 1759378938View full group profile

Name	Specialty	State
ANTHONY N RIVES (PA-C)	-	GA
JAMES GORE (MD)	-	GA
KHOLI SMITH WHELAN (NP-C)	-	GA
RACHEL ATKINS	-	GA
MRS. JACQUELINE LEE JESTER (NP-C)	-	GA
PAULETTE CLOUD (APRN)	-	GA

Reviews

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Frequently asked questions

What number should I use to identify AMY MARIE HEAD (NP-C) for billing?

Administrative and clinical systems typically use NPI 1740567809 for AMY MARIE HEAD (NP-C).

Should I treat AMY MARIE HEAD (NP-C) as an active provider?

Patients and plans typically see AMY MARIE HEAD (NP-C) as active in the national extract.

What does the directory say AMY MARIE HEAD (NP-C) does?

Insurance directories may phrase it differently, but here AMY MARIE HEAD (NP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What city is tied to AMY MARIE HEAD (NP-C)?

The directory associates AMY MARIE HEAD (NP-C) with Peachtree City, Georgia. Check all listed addresses for suites or satellite offices.

Who maintains AMY MARIE HEAD (NP-C)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.