MS. MONIQUE DIANE PETTEYS (FNP-C) – Family Nurse Practitioner, NPI 1902249675
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MS. MONIQUE DIANE PETTEYS (FNP-C)
563 MOUNTAIN CITY RD
CLAYTON, GA 30525
Phone: (706) 960-9026
Fax: (706) 960-9136
Type: Location
647 ACADEMY RD
LONG CREEK, SC 296582105
Phone: (706) 982-4434
Type: Mailing
189 BO JAMES ST STE 105
CLAYTON, GA 305256199
Phone: (706) 782-0016
Fax: (706) 782-0180
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $197.
Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.
Last reported payment date: 2024-05-17 • Largest payer in this snapshot: ABBVIE INC. ($92).
Total Amount
$197
General + Research + Ownership
Payments
10
Total payment records
General Amount
$197
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $92 |
| Exact Sciences Corporation | $35 |
| Novo Nordisk Inc | $19 |
| Lundbeck LLC | $18 |
| LINUS HEALTH, INC. | $17 |
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: 2014-04-28
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 |
|---|---|---|---|---|
| I20140428001431 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 243 | 125 | $0 |
| 99497 | Advance care planning, first 30 minutes | 172 | 172 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 169 | 123 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 152 | 152 | $0 |
| 81003 | Automated urinalysis test | 81 | 64 | $0 |
Insurance plans in this area (ZIP 30525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA |
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