STACEY HODGES WILLIFORD (NP) – Nurse Practitioner, NPI 1740616721
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for STACEY HODGES WILLIFORD (NP)
601 Ferncrest Dr Bldg A
Sandersville, GA 310821800
Phone: (478) 412-2880
Type: Location
524 SPARTA RD
SANDERSVILLE, GA 310821376
Phone: (478) 412-2880
Fax: (478) 412-2881
Type: Location
205 MEDICAL ARTS DR
SANDERSVILLE, GA 310821987
Phone: (478) 552-2020
Type: Mailing
2173 Mount Zion Rd
Warthen, GA 310944259
Phone: (478) 412-2880
Fax: (478) 412-2881
Type: Location
1000 Cowles Clinic Way
Suite E-100 Elm Cottage
Greensboro, GA 306425285
Phone: (762) 445-1086
Fax: (478) 412-2881
Type: Location
2173 MOUNT ZION RD
WARTHEN, GA 310944259
Phone: (478) 412-2880
Type: Mailing
601 FERNCREST DR BLDG A
SANDERSVILLE, GA 310821800
Phone: (478) 412-2880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $32 |
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: 2013-11-14
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 |
|---|---|---|---|---|
| I20131114001270 | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 246 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 114 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 99 | 44 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 51 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 31082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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