TARA NAOMI NICOLETTE (DO) – Internal Medicine Physician, NPI 1942568795
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
302 INFECTIOUS DISEASE in GA
Provider Addresses for TARA NAOMI NICOLETTE (DO)
460 Northside Cherokee Blvd Ste 300
Canton, GA 301158019
Phone: (770) 721-9630
Fax: (770) 721-9631
Type: Location
1 Medical Center Dr
Lebanon, NH 037560001
Phone: (603) 650-5000
Type: Location
1600 E OCEAN VIEW AVE APT D
NORFOLK, VA 235032441
Phone:
Type: Mailing
4000 COLISEUM DR
SUITE 345
HAMPTON, VA 236665906
Phone: (757) 827-2300
Fax: (757) 827-2121
Type: Location
101 E WOOD ST
SPARTANBURG, SC 293033040
Phone: (864) 560-6806
Fax: (864) 560-7329
Type: Location
PO BOX 743070
ATLANTA, GA 303743070
Phone: (864) 560-4304
Fax: (864) 560-4413
Type: Mailing
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: 2026-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20200118000093 | I | Infectious Disease | IN | TBD |
| I20200618001369 | I | Infectious Disease | WA | TBD |
| I20231208002753 | I | Internal Medicine | NM | TBD |
| I20241018000138 | I | Infectious Disease | NH | TBD |
| I20260206002054 | I | Infectious Disease | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 242 | 113 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 127 | 62 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 115 | 107 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 23 | 22 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 30115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NH | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | NH | |
| P S Y C H I A T R Y | NH | |
| - | NH | |
| - | VT | |
| - | CA | |
| - | NH | |
| - | NH | |
| Physician Assistant | NH |
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