SEENAMMA MATHEW (NURSE PRACTITIONER) – Acute Care Nurse Practitioner, NPI 1861991820

SEENAMMA MATHEW (NURSE PRACTITIONER) is a healthcare provider. based in Tifton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 022647 (OH). The NPI Number for SEENAMMA MATHEW (NURSE PRACTITIONER) is 1861991820

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
SEENAMMA MATHEW (NURSE PRACTITIONER)
NPI
1861991820
Phone
(229) 520-9387
Address
225 Cypress Ridge Rd
Enumeration Date
6 February 2018
Last Update Date
20 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164442200
Graduation Year
2017 (9 years ago)
PAC ID
2163777467
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20180608000982
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for SEENAMMA MATHEW (NURSE PRACTITIONER)

  • 225 Cypress Ridge Rd

    Tifton, GA 317941679

    Phone: (229) 520-9387

    Fax: (229) 520-9387

    Type: Location

  • 225, Cypress Ridge road, Tifton, Tift County, Georgia, 31794, United States

    TIFTON, GA 317941679

    Phone: (229) 520-9387

    Type: Mailing

  • 9500 EUCLID AVE # P78-009

    CLEVELAND, OH 44195

    Phone: (216) 618-2316

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-06-08

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
I20180608000982INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes3434$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2323$0
36410Insertion of needle into vein (3 years or older)1514$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 31794)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Family PracticeOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN

Reviews

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Frequently asked questions

Can I cross-check SEENAMMA MATHEW (NURSE PRACTITIONER) using NPI 1861991820?
NPI 1861991820 belongs to SEENAMMA MATHEW (NURSE PRACTITIONER); compare other details if you need extra assurance.
Is SEENAMMA MATHEW (NURSE PRACTITIONER) still an active registrant?
SEENAMMA MATHEW (NURSE PRACTITIONER) carries an active NPI according to the public dataset.
What clinical focus is listed for SEENAMMA MATHEW (NURSE PRACTITIONER)?
At a glance, SEENAMMA MATHEW (NURSE PRACTITIONER) is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SEENAMMA MATHEW (NURSE PRACTITIONER) located near Tifton?
SEENAMMA MATHEW (NURSE PRACTITIONER) currently maps to Tifton, Georgia in this extract.
Does SEENAMMA MATHEW (NURSE PRACTITIONER) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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