MRS. BETHANY WOODRUFF GRUBER (RN, BSN, NP-C) – Registered Nurse, NPI 1861828923
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. BETHANY WOODRUFF GRUBER (RN, BSN, NP-C)
950 S MAIN ST
STE 1
BAXLEY, GA 315130161
Phone: (912) 375-3095
Type: Mailing
209 S TALLAHASSEE ST
HAZLEHURST, GA 315396025
Phone: (912) 375-3095
Type: Location
73 SW PARK AVE STE B
BAXLEY, GA 315132008
Phone: (912) 705-8051
Fax: (912) 705-8051
Type: Mailing
73 SW PARK AVE
BAXLEY, GA 315130703
Phone: (912) 705-8050
Fax: (912) 705-8051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $678.
Total Amount is formed as General ($678) + Research ($0) + Ownership ($0) = $678.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($247).
Total Amount
$678
General + Research + Ownership
Payments
24
Total payment records
General Amount
$678
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $247 |
| AstraZeneca Pharmaceuticals LP | $188 |
| E.R. Squibb & Sons, L.L.C. | $128 |
| Corcept Therapeutics | $35 |
| Paratek Pharmaceuticals, Inc. | $24 |
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: 2013-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20131216000563 | I | Nurse Practitioner | GA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 248 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 143 | 68 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 84 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 62 | 38 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 56 | 27 | $0 |
Insurance plans in this area (ZIP 31513)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA |
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