MRS. GINA P CLEVENGER (C-FNP) – Family Nurse Practitioner, NPI 1861599045
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. GINA P CLEVENGER (C-FNP)
20, Collins Drive, Greenbriar, Cartersville, Bartow County, Georgia, 30120, United States
SUITE B
CARTERSVILLE, GA 301202486
Phone: (770) 607-0795
Fax: (770) 607-1339
Type: Location
330 TURNER MCCALL BLVD SW STE 107
ROME, GA 301655631
Phone: (706) 509-6439
Fax: (770) 607-1339
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 $235.
Total Amount is formed as General ($235) + Research ($0) + Ownership ($0) = $235.
Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Gilead Sciences, Inc. ($125).
Total Amount
$235
General + Research + Ownership
Payments
2
Total payment records
General Amount
$235
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $125 |
| CeQur Corporation | $110 |
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: 2010-05-14
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 |
|---|---|---|---|---|
| I20100514000751 | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 75 | 74 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 50 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 39 | 39 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 22 | 22 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 30120)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 83036 | Hemoglobin A1C level | 21 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Physician Assistant | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA |
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