MARISOL SAN INOCENCIO (MD) – Obstetrics & Gynecology Physician, NPI 1831166081
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
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Provider Addresses for MARISOL SAN INOCENCIO (MD)
Woman's Care Center, 1001, Fernwood Drive, Woodland Cottages, Milledgeville, Baldwin County, Georgia, 31061, United States
MILLEDGEVILLE, GA 310615416
Phone: (478) 453-8100
Type: Location
PO BOX 669
MILLEDGEVILLE, GA 310590669
Phone: (478) 453-8100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $305.
Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Shield Therapeutics Inc ($159).
Total Amount
$305
General + Research + Ownership
Payments
9
Total payment records
General Amount
$305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shield Therapeutics Inc | $159 |
| ABBVIE INC. | $45 |
| Sumitomo Pharma America, Inc. | $38 |
| PFIZER INC. | $23 |
| Astellas Pharma US Inc | $21 |
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: 2005-10-04
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 |
|---|---|---|---|---|
| I20051004000516 | I | Obstetrics/Gynecology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31061)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OBSTETRICS/GYNECOLOGY | GA | 76830 | Ultrasound pelvis through vagina | 29 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA |
Reviews
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