MS. JUDY B. BAIN (N.P.) – Family Nurse Practitioner, NPI 1811133622

MS. JUDY B. BAIN (N.P.) is a healthcare provider. based in Newnan, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. RN133680 (GA). The NPI Number for MS. JUDY B. BAIN (N.P.) is 1811133622

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MS. JUDY B. BAIN (N.P.)
NPI
1811133622
Phone
(678) 631-4610
Address
1200 Lower Fayetteville Rd Ste B
Enumeration Date
29 December 2008
Last Update Date
7 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7312132662
Graduation Year
2020 (6 years ago)
PAC ID
1658429535
Group Practice PAC ID
4688981665
Professional Enrollment ID
I20090622000066
Address ID
TN383201609CA190XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MS. JUDY B. BAIN (N.P.)

  • 1200 Lower Fayetteville Rd Ste B

    Newnan, GA 302651133

    Phone: (678) 631-4610

    Fax: (678) 631-4611

    Type: Location

  • 1022 GREYSTONE SQ

    JACKSON, TN 383053580

    Phone: (731) 300-2001

    Fax: (731) 240-8095

    Type: Mailing

  • 600 CELEBRATE LIFE PKWY

    NEWNAN, GA 302658001

    Phone: (770) 400-6164

    Type: Mailing

  • 45 Hurt St

    Trezevant, TN 382582505

    Phone: (731) 207-0323

    Fax: (731) 240-8065

    Type: Location

  • 1657 NORTH EXPRESSWAY

    GRIFFIN, GA 302231276

    Phone: (770) 228-2641

    Fax: (770) 467-9764

    Type: Location

  • 1260 Highway 54 W Ste 103

    Fayetteville, GA 302144525

    Phone: (770) 486-7000

    Fax: (770) 486-7010

    Type: Location

  • 600 Celebrate Life Pkwy

    Newnan, GA 302658001

    Phone: (770) 400-6164

    Fax: (706) 885-0607

    Type: Location

  • 236, Harwell Avenue, LaGrange, Troup County, Georgia, 30240, United States

    LAGRANGE, GA 302403132

    Phone: (731) 363-0673

    Fax: (706) 885-0607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $159.

Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: ABBVIE INC. ($51).

Total Amount

$159

General + Research + Ownership

Payments

10

Total payment records

General Amount

$159

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

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: 2015-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090622000066INurse PractitionerTNTBD
I20150715002337INurse 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 30265)

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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: 4688981665View full group profile
NameSpecialtyState
Family Practice, Emergency Medicine, Internal MedicineTN

Reviews

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Frequently asked questions

Does MS. JUDY B. BAIN (N.P.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. JUDY B. BAIN (N.P.) uses 1811133622.
Does CMS list MS. JUDY B. BAIN (N.P.) as active?
Yes — MS. JUDY B. BAIN (N.P.) is active in the NPI listing used on this page.
What healthcare role does MS. JUDY B. BAIN (N.P.) hold?
Scheduling teams often label MS. JUDY B. BAIN (N.P.) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MS. JUDY B. BAIN (N.P.) serve?
MS. JUDY B. BAIN (N.P.)'s listing highlights Newnan, Georgia; more addresses can appear in NPPES.
Why does MS. JUDY B. BAIN (N.P.) have multiple addresses?
11 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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