MARIEL DANITA HEPBURN – Family Medicine Physician, NPI 1851659650

MARIEL DANITA HEPBURN is a healthcare provider. based in Ashburn, Georgia. specializing in Family Medicine Physician. They hold a License No. 074668 (GA). The NPI Number for MARIEL DANITA HEPBURN is 1851659650

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MARIEL DANITA HEPBURN
NPI
1851659650
Phone
(229) 567-3407
Address
611 E WASHINGTON AVE
Enumeration Date
30 April 2012
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
MOREHOUSE SCHOOL OF MEDICINE
Secondary Phone
2295673407
Graduation Year
2012 (14 years ago)
PAC ID
2163660127
Group Practice PAC ID
2062745169
Professional Enrollment ID
I20151202000318

Contacts

Secure Messaging
mariel.hepburn@trhs.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

Provider Addresses for MARIEL DANITA HEPBURN

  • 611 E WASHINGTON AVE

    ASHBURN, GA 317145315

    Phone: (229) 567-3407

    Fax: (229) 567-4467

    Type: Mailing

  • 907 18TH ST E STE 400

    TIFTON, GA 317943684

    Phone: (229) 353-3422

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Astellas Pharma US Inc ($50).

Total Amount

$102

General + Research + Ownership

Payments

5

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

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: 2015-12-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151202000318IFamily PracticeGATBD

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 31714)

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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: 2062745169View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
-GA
-GA
Nurse PractitionerGA
Family Practice, Emergency MedicineGA
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary DiseaseMD
-GA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARIEL DANITA HEPBURN?
MARIEL DANITA HEPBURN — NPI 1851659650 — is the standard way to identify this listing.
Is MARIEL DANITA HEPBURN still practicing?
MARIEL DANITA HEPBURN is currently listed as active in the public NPI registry.
What is MARIEL DANITA HEPBURN best known for clinically?
Directory data describes MARIEL DANITA HEPBURN with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MARIEL DANITA HEPBURN list a practice location?
Patients near Ashburn, Georgia may find MARIEL DANITA HEPBURN in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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